Provider Demographics
NPI:1194556753
Name:BRYARS, JAMES DARREL (LCSW)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:DARREL
Last Name:BRYARS
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 W BELMONT CIR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72704-6043
Mailing Address - Country:US
Mailing Address - Phone:870-654-5790
Mailing Address - Fax:479-397-4793
Practice Address - Street 1:1106 SW 2ND ST
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-5026
Practice Address - Country:US
Practice Address - Phone:870-654-5790
Practice Address - Fax:479-397-4793
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR9240-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical