Healthcare Provider Details

I. General information

NPI: 1497910046
Provider Name (Legal Business Name): BETH A BRYANT LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3147 GLENDALE MILFORD RD
CINCINNATI OH
45241-3134
US

IV. Provider business mailing address

3147 GLENDALE MILFORD RD
CINCINNATI OH
45241-3134
US

V. Phone/Fax

Practice location:
  • Phone: 513-346-1270
  • Fax: 513-346-1270
Mailing address:
  • Phone: 513-346-1270
  • Fax: 513-346-1270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1700429-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: