Provider Demographics
NPI:1225595127
Name:BRYANT, DANIELLE J (LMFT)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:J
Last Name:BRYANT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5467 ROGERS HILL RD
Mailing Address - Street 2:
Mailing Address - City:WEST
Mailing Address - State:TX
Mailing Address - Zip Code:76691-2415
Mailing Address - Country:US
Mailing Address - Phone:254-829-1893
Mailing Address - Fax:254-829-1469
Practice Address - Street 1:5467 ROGERS HILL RD
Practice Address - Street 2:
Practice Address - City:WEST
Practice Address - State:TX
Practice Address - Zip Code:76691-2415
Practice Address - Country:US
Practice Address - Phone:254-829-1893
Practice Address - Fax:254-829-1782
Is Sole Proprietor?:No
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202515106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist