Provider Demographics
NPI:1083372270
Name:BRYANT, ERIKA LIESELOTTE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:LIESELOTTE
Last Name:BRYANT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ERIKA
Other - Middle Name:LIESELOTTE
Other - Last Name:SCHULTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:12238 QUEENSTON BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-5351
Mailing Address - Country:US
Mailing Address - Phone:346-200-8318
Mailing Address - Fax:
Practice Address - Street 1:12238 QUEENSTON BLVD STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5351
Practice Address - Country:US
Practice Address - Phone:346-200-8318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-04
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1053191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical