Provider Demographics
NPI:1508364456
Name:BRYANT, LINDSEY NICOLE (MSW, LSW)
Entity Type:Individual
Prefix:MISS
First Name:LINDSEY
Middle Name:NICOLE
Last Name:BRYANT
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7162 READING RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-3899
Mailing Address - Country:US
Mailing Address - Phone:513-961-5900
Mailing Address - Fax:513-961-5903
Practice Address - Street 1:1350 W NORTH BEND RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224
Practice Address - Country:US
Practice Address - Phone:513-363-4300
Practice Address - Fax:513-363-4320
Is Sole Proprietor?:No
Enumeration Date:2018-01-25
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH106S00000X
OHS.1802408104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No104100000XBehavioral Health & Social Service ProvidersSocial Worker