Most Relevant Information
Provider Data
| NPI Number: | 1003544651 |
| Provider Name: | KWATORIA LEKISHIA BRYANT LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | APC008543 |
Most Important Dates
| Enumeration Date: | 08/11/2022 |
| Last Updated: | 08/29/2022 |
Provider Practice Location
104 BORDERS WAY STE 500
WARNER ROBINS
GA
310888967
Practice Location Phone/Fax
| Phone: | 4788322421 |
| Fax: |
Provider Mailing Location
104 BORDERS WAY STE 500
WARNER ROBINS
GA
310888967
Provider Mailing Phone/Fax
| Phone: | 4783521026 |
| Fax: |