Lee M Bradshaw in Providence - Addiction (substance Use Disorder)
Lee M Bradshaw - NPI 1528072279
Lee M Bradshaw is a Addiction (substance Use Disorder) in Providence, Rhode Island. Lee M Bradshaw practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lee M Bradshaw is 1528072279. The last update date is 2009-03-27.
Lee M Bradshaw's current location address is 530 N Main St, Providence, Rhode Island. You can contact this provider via phone number 4012742500. The mailing address for Lee M Bradshaw is 530 N Main St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee M Bradshaw |
|---|---|
| Address | 530 N Main St, Providence, Rhode Island |
| Phone Number | 4012742500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCDP |
NPI Number Detail
| NPI Number | 1528072279 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2009-03-27 |
Provider Mailing Address Detail
| Address | 530 N Main St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29045762 |
| Phone Number | 4012742500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LCDP00093 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1104847946 | RI | THE PROVIDENCE CENTER NPI | |
| 23770-3 | RI | BLUE CROSS | |
| 62-55385 | RI | UNITED BEHAVIORAL HEALTH | |
| 410282 | RI | BLUE CHIP | |
| LB48952 | RI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lee M Bradshaw by the Centers for Medicare & Medicaid Services?
The Lee M Bradshaw has been assigned the NPI (National Provider Identifier) 1528072279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Lee M Bradshaw's facilities are situated?
The facilities of Lee M Bradshaw are physically located at the following address: 530 N Main St, Providence, RI, 29045762.
What is the Lee M Bradshaw's area of specialization and corresponding taxonomy classification?
The Lee M Bradshaw's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date was the 1528072279 assigned to Lee M Bradshaw?
The Lee M Bradshaw was issued its 1528072279 on 2006-07-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Lee M Bradshaw, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lee M Bradshaw, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-03-27.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY