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NPI Code Detail

MEDICARE: MS. RAVEN N. BRYANT M.ED., M.S., ALC

MEDICARE: MS. RAVEN N. BRYANT M.ED., M.S., ALC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorALC05632AL

General Provider Information

NPI Number : 1760340111
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RAVEN N. BRYANT M.ED., M.S., ALC
Provider Business Mailing Address
First Line : 3196 PARLIAMENT CIR STE 400
Second Line :
City : MONTGOMERY
State : AL
Zip : 36116-0001
Country : US
Telephone Number : 334-272-8949
Fax Number : 334-272-8947
Provider Business Practice Location Address
First Line : 3196 PARLIAMENT CIR STE 400
Second Line :
City : MONTGOMERY
State : AL
Zip : 36116-0001
Country : US
Telephone Number : 334-272-8949
Fax Number : 334-272-8947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/22/2026

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