Individual
BRYANNA OSWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6767 N WICKHAM RD STE 400, MELBOURNE, FL 32940-2025
(321) 631-8569
(321) 631-6530
Mailing address
6767 N WICKHAM RD STE 400, MELBOURNE, FL 32940-2025
(321) 631-8569
(321) 631-6530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMT1742
FL
101YP2500X
Professional Counselor
Primary
MT3983
FL
Other
Enumeration date
02/10/2014
Last updated
03/25/2026
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