Diana Bryant, LMFTA
Individual provider Active NPI Marriage & Family Therapist · King, NC
NPI 1922533694 · NPPES record last updated May 9, 2017
Key facts
- NPI
- 1922533694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 10097A (NC)
- Practice address
- 153 Jefferson Church Rd Ste E
King, NC 27021-8605 - Phone
- (336) 448-4145
- NPI assigned
- May 1, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10097A | NC | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 10097A | NC | Yes |
Addresses
Primary practice location
153 Jefferson Church Rd Ste E
King, NC 27021-8605
Mailing address
1870 Oscar Frye Rd
Pinnacle, NC 27043-8269
Phone (336) 408-9526
Other providers in King, NC
- Bodyworks, Inc.
- Laurie Reynolds Bowles
- Toni Boyd
- Trinia Lasonia Brown
- Melissa Ann Bruce
- Calm Source Inc
- Hope Campbell
- Jessica Campbell
- Capital Care Resources, LLC
- Carolina Occupational Therapy Services
All providers in King, NC · Marriage & Family Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2017. 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.