Provider Demographics
NPI:1477317568
Name:BRYAN TECHNOLOGIES, INC.
Entity Type:Organization
Organization Name:BRYAN TECHNOLOGIES, INC.
Other - Org Name:DJB COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:972-885-8987
Mailing Address - Street 1:1115 DOVE BROOK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-2702
Mailing Address - Country:US
Mailing Address - Phone:972-885-8987
Mailing Address - Fax:
Practice Address - Street 1:1115 DOVE BROOK DR STE 200
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-2702
Practice Address - Country:US
Practice Address - Phone:972-885-8987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty