AGATHA BRYAN (NPI# 1588065924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588065924 |
| Entity Type | Individual |
| Full Name | AGATHA BRYAN |
| Practice Address |
801 Douglas Ave Ste 208 Altamonte Springs FL 32714-5206 |
| Mailing Address |
2449 Silver Chase Dr Apt 2 Orlando FL 32808-4369 |
| Practice Telephone | 4079659027 |
| Mailing Telephone | 4079659027 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
801 DOUGLAS AVE STE 208 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32714-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558609388 | Erin Baker | Counselor | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2013-01-29 |
| 1124408208 | Lisa Pinilla-carrillo | Case Manager/Care Coordinator | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2015-06-04 |
| 1669867701 | Eunices Rodriguez | Marriage & Family Therapist | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2015-04-06 |
| 1033503834 | Theodule N Jean-pierre Sr. | Behavioral Analyst | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2015-03-19 |
| 1093106833 | Natasa Otiz | Case Manager/Care Coordinator | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2015-02-16 |
| 1952709883 | Leonardo Favio Tauzard | Contractor | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2014-12-09 |
| 1558767129 | Winnifred Stokes | Counselor | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2014-11-10 |
| 1336545052 | Veera Tervola | Counselor | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2014-11-06 |
| 1851795504 | Rachaun Callender | Psychologist | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2014-10-09 |
| 1386045227 | Sofia Mantas | Psychologist | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2014-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207173 | Juliana Cruz | Massage Therapist | 627 Dory Ln Unit.104, Altamonte Springs, FL 32714 | 2020-08-26 |
| 1376178699 | Nicole Diemond Segur | Counselor | 11100 Douglas Avenue, Suite 2040, Altamonte Springs, FL 32714 | 2020-03-06 |
| 1821647033 | Kayla Padilla | Student in an Organized Health Care Education/Training Program | 418 San Sebastian Prado, Altamonte Springs, FL 32714 | 2019-09-10 |
| 1750846077 | Brandi Loverich Ligon | Nurse Practitioner | 519 Baywood Ct, Altamonte Springs, FL 32714 | 2019-02-01 |
| 1831674902 | Eunice Eunjin Pyon | Optometrist | 886 W Fl-436, Altamonte Springs, FL 32714 | 2018-09-25 |
| 1619474251 | A Path To Change Counseling, LLC | Counselor | 221 Frontage Road Suite A, Clermont, FL 32714 | 2018-04-10 |
| 1225556889 | Rosen Medical Center, Inc. | Family Medicine | 7656 International Drive, Orlando, FL 32714 | 2017-09-05 |
| 1932629920 | Antonio Arias | Acupuncturist | 140 N. Westmonte Drive, Suite 100, Altamonte Springs, FL 32714 | 2017-06-21 |
| 1619406030 | Alexander Ruiz | Physical Therapy Assistant | 1348 Sassafras Ave, Altamonte Springs, FL 32714 | 2017-06-08 |
| 1912446386 | Kioanna Branker | Community Health Worker | 697 Ashford Oaks Dr Apt 203, Altamonte Springs, FL 32714 | 2017-02-18 |
| Find all providers in zip 32714 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644594 | Patricia C Avalos | Counselor | 1110 Douglas Ave Ste 2040, Altamonte Springs, FL 32714-2004 | 2020-09-21 |
| 1376178699 | Nicole Diemond Segur | Counselor | 11100 Douglas Avenue, Suite 2040, Altamonte Springs, FL 32714 | 2020-03-06 |
| 1508498619 | Alison Page Bryant | Counselor | 475 Osceola St Ste 1200, Altamonte Springs, FL 32701-7857 | 2020-02-06 |
| 1114566676 | Maribel Sharing Hope | Counselor | 978 Douglas Ave Ste 700, Altamonte Springs, FL 32714-5205 | 2020-01-02 |
| 1710445044 | 3 Cord Counseling | Counselor | 725 Northlake Blvd Apt 77, Altamonte Springs, FL 32701-6732 | 2019-03-05 |
| 1336624147 | Michael Maron | Counselor | 2530 Ohio Ave, Altamonte Springs, FL 32714-2613 | 2018-09-27 |
| 1316424799 | Healing Pathways Counseling Services, LLC | Counselor | 111 Jewel Dr Ste 103, Altamonte Springs, FL 32714-2706 | 2018-07-27 |
| 1528573318 | Nur Has | Counselor | 318 Dracaena Cir, Altamonte Springs, FL 32714-3288 | 2017-12-03 |
| 1992246961 | Venessa Thomas | Counselor | 1106 Doris St, Altamonte Springs, FL 32714-7221 | 2017-03-10 |
| 1528504453 | Sharon L Flatow, Phd., Lmhc | Counselor | 251 Maitland Ave Ste 108, Altamonte Springs, FL 32701-4913 | 2017-01-17 |
| Find all providers in ALTAMONTE SPRINGS | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32714 |
Please comment or provide details below to improve the information on AGATHA BRYAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.