Gloria J Bryant, LCSW ACSW
Individual provider Active NPI Marriage & Family Therapist · Evansville, IN
NPI 1801959366 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1801959366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 34003424A (IN)
- Practice address
- 4770 Covert Ave
Ste 218
Evansville, IN 47714-5663 - Phone
- (812) 471-8030
- Fax
- (812) 962-0415
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003424A | IN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 34003424A | IN | |
| Clinical Social Worker | 1041C0700X | 34003424A | IN | |
| Marriage & Family Therapist | 106H00000X | 34003424A | IN | Yes |
Addresses
Primary practice location
4770 Covert Ave
Ste 218
Evansville, IN 47714-5663
Mailing address
4770 Covert Ave
Suite 218
Evansville, IN 47714
Phone (812) 471-8030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34003424A | Other | IN | LIC CLINICAL SOC WORKER |
Other providers in Evansville, IN
- John Philip Bryan
- Tiffany Bryan
- Bryant a. Bloss M.D. Orthopaedics
- Bryant P. Burkett DDS, LLC
- Bryant P. Burkett DDS, LLC
- Grace A Bryant
- Shari W Bryant
- Corinne Buchanan
- Meredith Buchanan
- David E. Buck
All providers in Evansville, IN · Marriage & Family Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.