GLORIA J BRYANT LCSW ACSW NPI 1801959366

NPI Information

NPI: 1801959366
Provider Name: GLORIA J BRYANT, LCSW ACSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4770 COVERT AVE
STE 218
EVANSVILLE, IN
ZIP 47714
Phone: (812) 471-8030
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Gloria J Bryant, LCSW ACSW is a mental health counselor in Evansville, IN. Gloria J Bryant, LCSW ACSW NPI is 1801959366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4770 COVERT AVE
STE 218
EVANSVILLE, IN
ZIP 47714-663
Phone: (812) 471-8030
Fax: (812) 962-0415

The enumeration date for this NPI number is 12/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	34003424A	INDIANA	Yes
2	1041C0700X	Social Worker	Clinical	34003424A	INDIANA	X
3	106H00000X	Marriage & Family Therapist		34003424A	INDIANA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34003424A	OTHER	INDIANA	LIC CLINICAL SOC WORKER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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