Bryant, Annette
Bryant, Annette is an individual health care provider with primary practice located at 1107 Openwood St , Vicksburg MS 39183. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bryant, Annette can be contacted via phone (601) 831-4402.Contact Information
Primary practice address
1107 Openwood St
Vicksburg MS 39183
Phone: (601) 831-4402
Fax: (601) 206-0672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C6582 | Mississippi |
Profile Details
| NPI number | 1407878663 |
|---|---|
| LBN Legal business name | Bryant, Annette |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Aug 6th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407878663 | NPPES |
| Mississippi | MEDICAID | 08000025 | |
| Mississippi | Other | 302I801727 |
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