Provider Demographics
NPI:1841067949
Name:ASHLEY BRYANT-WENZ MENTAL HEALTH THERAPY LLC
Entity type:Organization
Organization Name:ASHLEY BRYANT-WENZ MENTAL HEALTH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:689-240-4164
Mailing Address - Street 1:4164 SADDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-8229
Mailing Address - Country:US
Mailing Address - Phone:407-766-9953
Mailing Address - Fax:
Practice Address - Street 1:4164 SADDLEWOOD DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-8229
Practice Address - Country:US
Practice Address - Phone:689-240-4164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health