Healthcare Provider Details

I. General information

NPI: 1912314360
Provider Name (Legal Business Name): CHAD H BRYAN LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2014
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 PINE AVE
ALMA MI
48801-1813
US

IV. Provider business mailing address

2632 N ALGER RD
ALMA MI
48801-9645
US

V. Phone/Fax

Practice location:
  • Phone: 989-535-0448
  • Fax:
Mailing address:
  • Phone: 989-763-1637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401014023
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: