Individual
MR. BRYAN MITCHELL ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
2200 JOHNSON AVE, SAN ANGELO, TX 76904-5441
(325) 949-3701
(325) 947-3585
Mailing address
2200 JOHNSON AVE, SAN ANGELO, TX 76904-5441
(325) 949-3701
(325) 947-3585
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
14593
TX
106H00000X
Marriage & Family Therapist
Primary
004794-041978
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3619LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/03/2006
Last updated
09/11/2025
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