Provider Demographics
NPI:1245795335
Name:BRYANT, CHELSEA ALAYNA (LPC)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:ALAYNA
Last Name:BRYANT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6508 GIVENS PLACE CT
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-4104
Mailing Address - Country:US
Mailing Address - Phone:682-970-0486
Mailing Address - Fax:
Practice Address - Street 1:6508 GIVENS PLACE CT
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-4104
Practice Address - Country:US
Practice Address - Phone:682-970-0486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76304101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional