Lord, Bradley Wayne

Lord, Bradley Wayne is an sole proprietor health care provider with primary practice located at 1221 W Lakeview Ave , Pensacola FL 32501-1836. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Lord, Bradley Wayne can be contacted via phone (850) 469-3500.

Contact Information

Primary practice address
1221 W Lakeview Ave Pensacola FL 32501-1836
Phone: (850) 469-3500
Fax: (850) 595-1400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8489 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP 2585 Florida

Profile Details

NPI number 1770687717
LBN Legal business name Lord, Bradley Wayne
Credentials PSYD MS LMHC CAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2006
Last updated Nov 23rd, 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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