Provider Demographics
NPI:1467634352
Name:LINK, BRYAN F (MSW;LCSW)
Entity Type:Individual
Prefix:
First Name:BRYAN
Middle Name:F
Last Name:LINK
Suffix:
Gender:M
Credentials:MSW;LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 E FLAMINGO RD
Mailing Address - Street 2:STE 234
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5197
Mailing Address - Country:UM
Mailing Address - Phone:702-331-5608
Mailing Address - Fax:702-463-0996
Practice Address - Street 1:2235 E FLAMINGO RD STE 234
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5197
Practice Address - Country:US
Practice Address - Phone:702-331-5608
Practice Address - Fax:702-463-0996
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6422-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical