Wilma L. Bryant Psychotherapy LTD

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

149005877 Issued in IL

Legal business name

WILMA L. BRYANT PSYCHOTHERAPY LTD

Doing business as

Wilma L Bryant LCSW

Practice address

100 N Chestnut St Ste 229
Champaign, IL 61820-4856

Phone

(217) 637-7815

Fax

(844) 693-1411

NPI assigned

Jun 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wilma L. Bryant, LCSW

Title

Psychotherapy

Phone

(217) 637-7815

Specialties & licenses 1

Addresses

Other names 1

• Wilma L Bryant LCSW Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1457846594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 WOODHAVEN DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227573",
            "telephone_number": "217-637-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CHESTNUT ST STE 229",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204856",
            "telephone_number": "217-637-7815",
            "fax_number": "844-693-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMA L. BRYANT PSYCHOTHERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "WILMA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOTHERAPY",
        "authorized_official_telephone_number": "217-637-7815",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "149005877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilma L Bryant LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jazmine Willis
• Latrice Willis, LCSW
• Leslie Anne Willis
• Naomi Willis
• Willow Counseling LLC
• Carol Wilson-Smith, L.C.S.W.
• Angela Renee Wilson, LPC, NCC
• Celina R Wilson
• Henry Eugene Wilson III, OTR/L
• Isaiah Wilson

• Adult Mental Health Clinic/Center in Champaign, IL
• Providers in Champaign, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.