Provider Demographics
NPI:1497503668
Name:BRYANT, ROBERT (LPC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:BRYANT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 MAIN ST STE 141
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4359
Mailing Address - Country:US
Mailing Address - Phone:214-753-8017
Mailing Address - Fax:214-894-3904
Practice Address - Street 1:2770 MAIN ST STE 141
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4359
Practice Address - Country:US
Practice Address - Phone:214-753-8017
Practice Address - Fax:214-894-3904
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91514101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional