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Provider Information for 1508389487


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ALAYNA BRYANT LPC


Sex: Female

NPI: 1508389487
Last Updated: 2017-07-21
Certification Date:

Details

NameValue
NPI1508389487
Enumeration Date2017-07-21
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 18679
HATTIESBURG, MS 39404-8679
United States

Phone: | Fax:
 
Primary Practice Address 3 CLEARVIEW CIR
MOSELLE, MS 39459-9520
United States

Phone: 601-544-1499 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor MS2108