Provider Demographics
NPI:1285420703
Name:WATERS, ALYSSA BREANNE BRYANT (LMFT-A)
Entity type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:BREANNE BRYANT
Last Name:WATERS
Suffix:
Gender:
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 N GREEN RIVER RD
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29341-4615
Mailing Address - Country:US
Mailing Address - Phone:864-415-6967
Mailing Address - Fax:864-415-6967
Practice Address - Street 1:138 DILLON DR
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-1018
Practice Address - Country:US
Practice Address - Phone:864-583-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10354101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health