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General NPI Number Information
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NPI Number | 1013207299
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Entity Type | Individual
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Provider Name | LORI L BRYANT LMFT, RPT-S
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Gender | Female
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Dates
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Enumeration Date | 04/09/2011
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Last Update Date | 12/29/2024
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Provider Practice Location Address
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Address Line | 6775 PRESTON GLEN DR
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City | ALPHARETTA
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State | GA
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Zip | 30005-2294
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Country | US
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Telephone | 678-371-2849
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Fax |
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Provider Business Mailing Address
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Address Line | 6775 PRESTON GLEN DR
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City | ALPHARETTA
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State | GA
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Zip | 30005-2294
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Country | US
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Telephone | 678-371-2849
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MT2178
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | MT2178
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 1358127
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT2178
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT001306
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License Number State | GA
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