Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Nicole Bryant

Individual provider Marriage & Family Therapist · NPI 1629788500

Ebony Nicole Bryant is a Marriage & Family Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

12021 Wilmington Ave Ste 2B
Los Angeles, CA 90059-3019
Phone: (310) 221-6336
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence AMFT137414 (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1629788500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 1, 2022
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023

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