Bryan Earley

Individual provider Active NPI Mental Health Counselor · Piqua, OH

NPI 1730933045 · NPPES record last updated Apr 15, 2024

Key facts

NPI
1730933045
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
987 E Ash St Ste A2
Piqua, OH 45356-4133
Phone
(937) 552-6064
NPI assigned
Apr 15, 2024
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

987 E Ash St Ste A2
Piqua, OH 45356-4133

Mailing address

313 S Wayne St
Piqua, OH 45356-3518
Phone (937) 552-6064

Other providers in Piqua, OH

All providers in Piqua, OH · Mental Health Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.