Provider Demographics
NPI:1306158563
Name:BRYAN, BELINDA FAYE (NCC, LPC)
Entity type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:FAYE
Last Name:BRYAN
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:MS
Other - First Name:BELINDA
Other - Middle Name:FAYE
Other - Last Name:PRATCHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NCC, LPC
Mailing Address - Street 1:7165 PEPPERMILL LN
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-3441
Mailing Address - Country:US
Mailing Address - Phone:901-833-9692
Mailing Address - Fax:
Practice Address - Street 1:7165 PEPPERMILL LN
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-3441
Practice Address - Country:US
Practice Address - Phone:901-833-9692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-04
Last Update Date:2010-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2268101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional