Provider Demographics
NPI:1356893846
Name:BRYANT, CYNTHIA CORBIN (LCSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CORBIN
Last Name:BRYANT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 MONTCLAIR RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35213-2427
Mailing Address - Country:US
Mailing Address - Phone:205-879-3438
Mailing Address - Fax:205-871-5939
Practice Address - Street 1:3940 MONTCLAIR RD
Practice Address - Street 2:SUITE 205
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-2427
Practice Address - Country:US
Practice Address - Phone:205-879-3438
Practice Address - Fax:205-871-5939
Is Sole Proprietor?:No
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2425C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical