Bradley, Angelia Pinckard

Bradley, Angelia Pinckard is an sole proprietor health care provider with primary practice located at 210 Joe Hale Dr , Johnson City TN 37615-3866. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bradley, Angelia Pinckard can be contacted via phone (423) 677-7824.

Contact Information

Primary practice address
210 Joe Hale Dr Johnson City TN 37615-3866
Phone: (423) 677-7824
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPCMHSP2004 Tennessee

Profile Details

NPI number 1982708665
LBN Legal business name Bradley, Angelia Pinckard
Credentials MED LPC MHSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2006
Last updated Sep 15th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982708665 NPPES
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