Provider Demographics
NPI:1154151991
Name:SCHALK, BRYCE (LPC)
Entity type:Individual
Prefix:
First Name:BRYCE
Middle Name:
Last Name:SCHALK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10101 AUTUMN VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-4256
Mailing Address - Country:US
Mailing Address - Phone:765-602-1037
Mailing Address - Fax:
Practice Address - Street 1:10101 AUTUMN VALLEY LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-4256
Practice Address - Country:US
Practice Address - Phone:765-602-1037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5748101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional