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General NPI Number Information
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NPI Number | 1194518035
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Entity Type | Individual
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Provider Name | BRYANNA SACOYA CARTER M.ED, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 428 COLUMBUS AVE
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City | NEW HAVEN
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State | CT
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Zip | 06519-1233
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Country | US
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Telephone | 203-503-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 109B POLARIS AVE
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City | KODIAK
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State | AK
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Zip | 99615-6840
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Country | US
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Telephone | 804-824-0867
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8928
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License Number State | CT
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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 | SC0000001082449
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401224260
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401224260
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License Number State | MI
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