Provider Demographics
NPI:1871283713
Name:TRAN, BRIANNA SYDNEY (MA, LMFT ASSOCIATE)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:SYDNEY
Last Name:TRAN
Suffix:
Gender:F
Credentials:MA, LMFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 S W S YOUNG DR STE 116A
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-5314
Mailing Address - Country:US
Mailing Address - Phone:254-213-3705
Mailing Address - Fax:254-230-1007
Practice Address - Street 1:2201 S W S YOUNG DR STE 116
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-5317
Practice Address - Country:US
Practice Address - Phone:254-213-3705
Practice Address - Fax:254-230-1007
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205053106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist