Provider Demographics
NPI:1033443346
Name:VAN SCOY, BRIANA KAY (MA)
Entity Type:Individual
Prefix:MISS
First Name:BRIANA
Middle Name:KAY
Last Name:VAN SCOY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 N MADISON AVE
Mailing Address - Street 2:APT. 378
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-4468
Mailing Address - Country:US
Mailing Address - Phone:626-395-9443
Mailing Address - Fax:
Practice Address - Street 1:11001 E. VALLEY MALL
Practice Address - Street 2:SUITE 300
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731
Practice Address - Country:US
Practice Address - Phone:626-442-0710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAICAN867OtherLA COUNTY DMH