Provider Demographics
NPI:1710545116
Name:BRYCE-HUTCHINSON, GEORGIA A (LMFT)
Entity type:Individual
Prefix:MRS
First Name:GEORGIA
Middle Name:A
Last Name:BRYCE-HUTCHINSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 VIRGINIA CV
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-6034
Mailing Address - Country:US
Mailing Address - Phone:305-494-0700
Mailing Address - Fax:954-901-2778
Practice Address - Street 1:3236 FORUM BLVD # 1028
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-5582
Practice Address - Country:US
Practice Address - Phone:786-471-8312
Practice Address - Fax:954-901-2778
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3673106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist