Elliott, Bryan Mitchell

Elliott, Bryan Mitchell is an sole proprietor health care provider with primary practice located at 2200 Johnson Ave , San Angelo TX 76904-5441. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Elliott, Bryan Mitchell can be contacted via phone (325) 949-3701.

Contact Information

Primary practice address
2200 Johnson Ave San Angelo TX 76904-5441
Phone: (325) 949-3701
Fax: (325) 947-3585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 14593 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 004794-041978 Texas

Profile Details

NPI number 1033126644
LBN Legal business name Elliott, Bryan Mitchell
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1033126644 NPPES
Texas Other 3619LC BLUE CROSS BLUE SHIELD

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