Basic Information
| Provider Information | |||||||||
| NPI: | 1356605828 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DYAS | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | BRYNN | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10777 E 28TH PL | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802383222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059991196 | ||||||||
| FaxNumber: | 2059688361 | ||||||||
| Practice Location | |||||||||
| Address1: | 8269 E 23RD AVE STE 100 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802383557 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7205803904 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2012 | ||||||||
| LastUpdateDate: | 12/28/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/28/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 3260 | AL | N | Behavioral Health & Social Service Providers | Counselor | Professional | 101YM0800X | 12850 | CO | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.