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General NPI Number Information
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NPI Number | 1033002621
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Entity Type | Organization
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Legal Business Name | BRYANT THERAPEUTIC COUNSELING AND CONSULTING SERVICES
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 31805 MIDDLEBELT RD STE 307
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2367
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Country | US
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Telephone | 248-382-8932
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21492
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City | DETROIT
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State | MI
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Zip | 48221-0492
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Country | US
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Telephone | 248-832-2228
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIA SIMONE BRYANT
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Credential | LPC
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Telephone | 248-382-8932
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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 |
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License Number State |
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