Bryant, Michele Renee

Bryant, Michele Renee is an sole proprietor health care provider with primary practice located at 3421 Mike Padgett Hwy , Augusta GA 30906-3815. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bryant, Michele Renee can be contacted via phone (706) 432-4858.

Contact Information

Primary practice address
3421 Mike Padgett Hwy Augusta GA 30906-3815
Fax: (706) 432-3780
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC0057 Georgia

Profile Details

NPI number 1356411151
LBN Legal business name Bryant, Michele Renee
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Dec 14th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356411151 NPPES
Georgia MEDICAID 000606317B

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