Provider Demographics
NPI:1811701667
Name:BRYANT, TENESHIA (LPC)
Entity type:Individual
Prefix:
First Name:TENESHIA
Middle Name:
Last Name:BRYANT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 YOUNGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-6158
Mailing Address - Country:US
Mailing Address - Phone:334-319-6384
Mailing Address - Fax:
Practice Address - Street 1:750 DOWNTOWNER LOOP W STE H160
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5528
Practice Address - Country:US
Practice Address - Phone:334-521-2643
Practice Address - Fax:615-658-1388
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty