BRYCE M LOGSDON MHP
NPI 1528782091
Counselor - Mental Health in Pontiac, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since September 28, 2022

920 W CUSTER AVE, PONTIAC, IL 61764(815) 844-6109(815) 844-3561 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Bryce M Logsdon Mhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYCE M LOGSDON MHP (NPI 1528782091) is an individual mental health provider in Pontiac, Illinois and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1528782091

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameBRYCE M LOGSDONCredential: MHP

Location Address920 W CUSTER AVEPontiac, IL 61764-1067

Mailing AddressPo Box 768Pontiac, IL 61764-0768 · (815) 844-6109 · Fax (815) 844-3561

Phone(815) 844-6109

Fax(815) 844-3561

Sole ProprietorNo

Enumeration DateSeptember 28, 2022

NPPES CertifiedSeptember 28, 2022

✔ NPI 1528782091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

920 W CUSTER AVE, Pontiac, IL 61764

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Local Education Agency (LEA)

920 W CUSTER AVE, SUITE A
PONTIAC, IL 61764

Livingston County (815) 743-5346

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