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General NPI Number Information
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NPI Number | 1275307712
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Entity Type | Individual
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Provider Name | KIMBERLY SYTELL BRYANT MA, LPC, LCPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1811 ROBERTS ST
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City | FARMVILLE
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State | VA
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Zip | 23901-2904
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Country | US
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Telephone | 804-491-6207
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 ROBERTS ST
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City | FARMVILLE
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State | VA
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Zip | 23901-2904
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Country | US
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Telephone | 804-491-6020
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Fax | 434-569-7347
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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 | MH25761
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701013054
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC16526
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License Number State | MD
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