Provider Demographics
NPI:1376921221
Name:BRYNER, ANGELA M (LCMHC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:BRYNER
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1956 HAYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-1925
Mailing Address - Country:US
Mailing Address - Phone:828-606-5699
Mailing Address - Fax:
Practice Address - Street 1:714 OAKLAND ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3648
Practice Address - Country:US
Practice Address - Phone:828-606-5699
Practice Address - Fax:828-417-3534
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-12
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11588101YP2500X
NC11588101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional