IndividualActive
Bryson Blackburn, LCSW
NPI 1891208393 · Mental Health Counselor · Arcadia, FL
Provider details
- NPI number
- 1891208393
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- SW14904 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
725 N 12th Ave
Arcadia, FL 34266-8752
Phone: (863) 494-1242
Fax: (863) 491-0466
Approximate (ZIP-level) locationGet directions
Mailing address
700 8th Ave W Ste 101
Palmetto, FL 34221-4737
Registry dates
- Enumerated
- 2017-11-07
- Last updated
- 2023-07-21
- Certified
- 2023-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.