Doctor Name: | MR. BILLY JAMES BRYAN |
NPI Number: | 1093080632 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., LPC |
License Number: | LPC 4587 |
Business Practice Address: | 1215 Cypress St. Suite 1 West Monroe, LA - 71291 |
Business Phone Number: | 3186052173 |
Business Fax Number: | 3186052173 |
Mailing Address: | 1215 Cypress St., Suite 1 WEST MONROE |
State: | LA |
Postal Code: | 71291 |
Phone Number: | 3186052173 |
Fax Number: | 3186052173 |
NPI Enumeration Date: | 03/15/2012 |
NPI Last Update Date: | 07/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC 4587 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |