MRS. AUDRA JEAN BRYANT MS.,LPC., LSW.
NPI 1306018049
Counselor - Professional in Eagle, ID
- Individual
- Female
- Counselor
- Professional
About AUDRA BRYANT
This page provides the complete NPI Profile along with additional information for Audra Bryant, a provider established in Eagle, Idaho with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1306018049 assigned on April 2008. The practitioner's primary taxonomy code is 101YP2500X with license number LPC-3473 (ID). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1306018049 Verify this NPI
- Provider Name
- MRS. AUDRA JEAN BRYANT MS.,LPC., LSW.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 228 E PLAZA ST STE B PMB#137 EAGLE, ID 83616
- Location Phone
- (208) 371-5433
- Mailing Address
- 228 E PLAZA ST STE B PMB#137 EAGLE, ID 83616
- Mailing Phone
- (208) 371-5433
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-01-2008
- Last Update Date
- 04-01-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPC-3473
- License State
- ID
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | LSW-2046 (ID) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306018049, enumerated as an "individual" on April 01, 2008.
The provider is located at 228 E PLAZA ST STE B PMB#137 EAGLE, ID 83616 and the phone number is (208) 371-5433.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
