Provider Demographics
NPI:1205089273
Name:BRYANT, SHERRI LYNN (LPC)
Entity type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:LYNN
Last Name:BRYANT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:SHERRI
Other - Middle Name:LYNN
Other - Last Name:SEVERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:21 N EIGHT TRIBES TRL STE B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:OK
Mailing Address - Zip Code:74354-1010
Mailing Address - Country:US
Mailing Address - Phone:918-325-8066
Mailing Address - Fax:918-387-8720
Practice Address - Street 1:21 N EIGHT TRIBES TRL STE B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-1010
Practice Address - Country:US
Practice Address - Phone:918-325-8066
Practice Address - Fax:918-387-8720
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7472101YM0800X
MO2008032518101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional