Bryanna Danielle Owens, LCMHCA

Individual provider Active NPI Mental Health Counselor · Thomasville, NC

NPI 1083435002 · NPPES record last updated Oct 22, 2024

Key facts

NPI
1083435002
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
A19802 (NC)
Practice address
64 Cub Dr
Thomasville, NC 27360-9261
Phone
(336) 462-9091
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A19802NCMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A19802 NC Yes

Addresses

Primary practice location

64 Cub Dr
Thomasville, NC 27360-9261

Mailing address

64 Cub Dr
Thomasville, NC 27360-9261

Other providers in Thomasville, NC

All providers in Thomasville, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.