Provider Demographics
NPI:1912775206
Name:KARBLEY, BRYSON (LCSWA)
Entity Type:Individual
Prefix:
First Name:BRYSON
Middle Name:
Last Name:KARBLEY
Suffix:
Gender:M
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 SHADYLAWN RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2007
Mailing Address - Country:US
Mailing Address - Phone:919-980-5312
Mailing Address - Fax:
Practice Address - Street 1:201 E ACADEMY ST STE 102
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2248
Practice Address - Country:US
Practice Address - Phone:919-980-5312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0200651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical