Bryant, Angelia Shaw

Bryant, Angelia Shaw is an sole proprietor health care provider with primary practice located at 2976 Highway 910 Suite B, Russell Springs KY 42642-8963. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bryant, Angelia Shaw can be contacted via phone (270) 866-4753.

Contact Information

Primary practice address
2976 Highway 910 Suite B Russell Springs KY 42642-8963
Phone: (270) 866-4753
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 103409 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 0031 Kentucky

Profile Details

NPI number 1770868234
LBN Legal business name Bryant, Angelia Shaw
Credentials NCC CCMHC CHT LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2011
Last updated Jul 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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