BIANCA POINDEXTER-BRYAN
NPI 1841879830
Counselor - Mental Health in Marietta, GA
Active since April 06, 2021
About Bianca Poindexter-bryan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BIANCA POINDEXTER-BRYAN (NPI 1841879830) is an individual mental health provider in Marietta, Georgia, licensed in Georgia (LPC012056) and active in the NPI registry since April 2021.
NPPES Registry Identity
NPI1841879830
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBIANCA POINDEXTER-BRYAN
Location Address1355 TERRELL MILL RD SE BLDG 1460Marietta, GA 30067-5496
Mailing Address1355 Terrell Mill Rd Se Bldg 1460Marietta, GA 30067-5496
Phone(470) 893-1052
Sole ProprietorYes
Enumeration DateApril 6, 2021
NPPES CertifiedApril 6, 2021
✔ NPI 1841879830 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC012056
1355 TERRELL MILL RD SE BLDG 1460, Marietta, GA 30067
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841879830, enumerated as an "individual" on April 06, 2021.
The provider is located at 1355 TERRELL MILL RD SE BLDG 1460 MARIETTA, GA 30067 and the phone number is (470) 893-1052.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.