Sean Patrick Bryan, M.A.

Individual provider Active NPI Professional Counselor · Rayville, LA

NPI 1962583724 · NPPES record last updated Apr 11, 2025

Key facts

NPI
1962583724
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
3610 (LA)
Practice address
86 Palmetto Rd
Rayville, LA 71269-6415
Phone
(318) 728-2383
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3610LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Addiction Recovery Center, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3610 LA Yes

Addresses

Primary practice location

86 Palmetto Rd
Rayville, LA 71269-6415

Mailing address

86 Palmetto Rd
Rayville, LA 71269-6415
Phone (318) 728-2383

Other providers in Rayville, LA

All providers in Rayville, LA · Professional Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.