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General NPI Number Information
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NPI Number | 1699981175
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Entity Type | Organization
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Legal Business Name | BRYANT COUNSELING, INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 810 BLUE RIDGE AVE SUITE A
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City | BEDFORD
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State | VA
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Zip | 24523-2433
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Country | US
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Telephone | 540-587-5852
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Fax | 540-587-5853
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Provider Business Mailing Address
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Address Line | 810 BLUE RIDGE AVE SUITE A
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City | BEDFORD
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State | VA
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Zip | 24523-2433
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Country | US
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Telephone | 540-587-5852
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Fax | 540-587-5853
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. PATRICIA RAE BRYANT
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Credential | LCSW, RN, CS
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Telephone | 540-587-5852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904003951
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License Number State | VA
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