MRS. AILEEN M BRYANT-WALES LPCC, TCADC - NPI 1881166999

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Mrs. Aileen M Bryant-wales Lpcc, Tcadc NPPES

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

MRS. AILEEN M BRYANT-WALES LPCC, TCADC (NPI 1881166999) is an individual professional provider in Louisville, Kentucky, licensed in Kentucky (245650) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1881166999

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. AILEEN M BRYANT-WALESCredential: LPCC, TCADC

Location Address2133 W MARKET STLouisville, KY 40212-1532

Mailing Address12321 Dominion WayLouisville, KY 40299-4487 · (502) 417-9799

Phone(502) 384-5807

Fax(502) 384-5807

Sole ProprietorYes

Enumeration DateDecember 31, 2018

Last NPPES UpdateJuly 16, 20205 updates tracked since enumeration

NPPES CertifiedJuly 16, 2020

✔ NPI 1881166999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KY · 245650

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 241211 (KY)

2133 W MARKET ST, Louisville, KY 40212

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Other Identifiers 1

Medicaid7100594570KY

Other Providers at the Same Location NPPES 8

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

DARRYL D WALES CADC

Counselor (Addiction (Substance Use Disorder))