Anitra Lynette Bradford in Magnolia - Mental Health
Anitra Lynette Bradford - NPI 1124218177
Anitra Lynette Bradford is a Mental Health in Magnolia, Arkansas. Anitra Lynette Bradford practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Anitra Lynette Bradford is 1124218177. The last update date is 2018-03-17.
Anitra Lynette Bradford's current location address is 621 E North St, Magnolia, Arkansas. You can contact this provider via phone number 8702340739. The mailing address for Anitra Lynette Bradford is 621 E North St, Magnolia, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anitra Lynette Bradford |
|---|---|
| Address | 621 E North St, Magnolia, Arkansas |
| Phone Number | 8702340739 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LAC |
NPI Number Detail
| NPI Number | 1124218177 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 621 E North St |
|---|---|
| City | Magnolia |
| State | Arkansas (AR) |
| Post Code | 717533120 |
| Phone Number | 8702340739 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | A0710078 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identification code assigned to Anitra Lynette Bradford by the Centers for Medicare & Medicaid Services?
The Anitra Lynette Bradford has been issued the NPI (National Provider Identifier) 1124218177. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Anitra Lynette Bradford is located?
The Anitra Lynette Bradford is situated at the following address: 621 E North St, Magnolia, AR, 717533120.
What is the Anitra Lynette Bradford's specialty and taxonomy code?
The Anitra Lynette Bradford's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124218177 to Anitra Lynette Bradford?
The Centers for Medicare & Medicaid Services originally issued the 1124218177 to Anitra Lynette Bradford on 2007-07-26.
As of what date were the Anitra Lynette Bradford's details last updated?
The information pertaining to the Anitra Lynette Bradford, including its address, specialty, and other details, was most recently updated on 2018-03-17.
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