Bradley, Stephanie

Bradley, Stephanie is an individual health care provider with primary practice located at 1025 Rose Creek Dr Ste 620-270 , Woodstock GA 30189-6797. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bradley, Stephanie can be contacted via phone (404) 907-3868.

Contact Information

Primary practice address
1025 Rose Creek Dr Ste 620-270 Woodstock GA 30189-6797
Phone: (404) 907-3868
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC008337 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701006054 Virginia

Profile Details

NPI number 1396137196
LBN Legal business name Bradley, Stephanie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2015
Last updated Aug 27th, 2022 - about 4 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 1396137196 NPPES
Georgia MEDICAID 003170682A
Georgia MEDICAID 1659424448

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