Provider Demographics
NPI:1013710995
Name:PARIS, BRIANNA ROSE (LPC-A)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:ROSE
Last Name:PARIS
Suffix:
Gender:
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101B TUPELO LN
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642-3720
Mailing Address - Country:US
Mailing Address - Phone:864-884-8459
Mailing Address - Fax:
Practice Address - Street 1:3113 HIGHWAY 153 STE D
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673-6201
Practice Address - Country:US
Practice Address - Phone:864-523-4339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8854101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health