Provider Demographics
NPI:1154835387
Name:O'BRYAN, EMILY LUANN (LPCC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:LUANN
Last Name:O'BRYAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:LUANN
Other - Last Name:SAMUELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6170 HARBOUR POINTE
Mailing Address - Street 2:UNIT 104
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231
Mailing Address - Country:US
Mailing Address - Phone:614-499-4715
Mailing Address - Fax:
Practice Address - Street 1:5701 N. HIGHIST.
Practice Address - Street 2:SUITE 308
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085
Practice Address - Country:US
Practice Address - Phone:614-406-0299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-27
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.130551101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor