Childress, Bryony S.

Childress, Bryony S. is an individual health care provider with primary practice located at 2400 Lane Ave , Anderson SC 29621-3204. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Childress, Bryony S. can be contacted via phone (864) 878-6830.

Contact Information

Primary practice address
2400 Lane Ave Anderson SC 29621-3204
Phone: (864) 878-6830
Fax: (864) 878-5396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 8873 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8873 South Carolina

Profile Details

NPI number 1740662881
LBN Legal business name Childress, Bryony S.
Credentials MSW, LISW-CP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2015
Last updated Jul 7th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740662881 NPPES
South Carolina MEDICAID LW1044

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