Provider Demographics
NPI:1124103452
Name:BRYANT, BARBARA JEAN (LPC-S)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEAN
Last Name:BRYANT
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 E 29TH ST STE F
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2788
Mailing Address - Country:US
Mailing Address - Phone:979-776-9798
Mailing Address - Fax:979-774-9770
Practice Address - Street 1:3131 E 29TH ST STE F
Practice Address - Street 2:SUITE 100
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2788
Practice Address - Country:US
Practice Address - Phone:979-776-9798
Practice Address - Fax:979-774-9770
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12260101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health