| Aeriawnbryantllc | |
|
38 Fernwood Ave Dayton OH 45405-2615 | |
| (678) 683-0466 | |
| Not Available |
| Full Name | Aeriawnbryantllc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 38 Fernwood Ave, Dayton, Ohio |
| Authorized Official Name and Position | Aeriawn Bryant (CEO) |
| Authorized Official Contact | 6786830466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aeriawnbryantllc 38 Fernwood Ave Dayton OH 45405-2615 Ph: (678) 683-0466 | Aeriawnbryantllc 38 Fernwood Ave Dayton OH 45405-2615 Ph: (678) 683-0466 |
| NPI Number | 1922839521 |
|---|---|
| Provider Enumeration Date | 08/13/2024 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922839521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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