Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KATRINA RENEE BRYANT, MS, LCAS
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · CHARLOTTE, NC
Registration Details
- NPI Number
- 1730960741
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2023 (2.5415871507796 yrs)
- Last Updated
- Oct 6, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
5017 ELIZABETH RDCHARLOTTE, NC, 282694534Browse NC providers · Browse ZIP 28269
- Phone
- 7043258336
- Fax
- 7048258356
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Other Intellectual Disabilities Residential Treatment Facility Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| NANA HINTON | — | 1154818284 |
| MRS. MARSHA DAYMON-ADAMS | PROVIDER | 1578106258 |
| WALTER JASON YOUNG JR. | QP | 1881230795 |
| LATESHA GREEN | — | 1972239127 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.