Provider Demographics
NPI:1780354118
Name:BRYANT WHITE, ANITA LYNN (LMSW)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:LYNN
Last Name:BRYANT WHITE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BEACON LN STE A
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-3801
Mailing Address - Country:US
Mailing Address - Phone:302-377-8916
Mailing Address - Fax:302-328-7996
Practice Address - Street 1:4 BEACON LN STE A
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-3801
Practice Address - Country:US
Practice Address - Phone:302-377-8916
Practice Address - Fax:302-328-7996
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0000158101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor