Marlo Bryant, LMHC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MARLO BRYANT, LMHC

Practice address

3903 Northdale Blvd Ste 100E
Tampa, FL 33624-1862

Phone

(813) 309-7881

NPI assigned

Jun 28, 2020

Organization subpart

No

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

Authorized official

Name

Marlo Deshawn Bryant, LMHC

Title

Therapist

Phone

(813) 309-7881

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1588281349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 E FRIERSON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336105034",
            "telephone_number": "813-309-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 NORTHDALE BLVD STE 100E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241862",
            "telephone_number": "813-309-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLO BRYANT, LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "MARLO",
        "authorized_official_middle_name": "DESHAWN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "813-309-7881",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619432093",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "creativechangescounseling.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "3903 Northdale Blvd Ste 100E",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336241862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sylicia Marks, MA, LMHC
• Jennifer Markwood, DO
• Alana Marie Marley
• Janet Marley, M.D. , P.A.
• Arthur Edward Marlin
• Konstantinos Marmagkiolis, MD
• Yessenia Marmol, APRN
• Marnic, LLC (United Pathology Lab)
• Eric Marohl, DPT
• Thomas V Maroldo, MD

• Community/Behavioral Health Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.