The Bradley Center Llc

LBN: The Bradley Center Llc
The Bradley Center Llc is an health care organization with primary practice located at 6737 U S Highway 98 , Hattiesburg MS 39402-8444. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. The Bradley Center Llc can be contacted via phone (601) 270-1567, or through Gunn, Ava Marie via phone (601) 270-1567.

Contact Information

Primary practice address
6737 U S Highway 98 Hattiesburg MS 39402-8444
Phone: (601) 270-1567
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gunn, Ava Marie Licensed Clinical Social Worker (LCSW)
Phone: (601) 270-1567

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1699485508
LBN Legal business name The Bradley Center Llc
DBA Doing business as
Authorized official Gunn, Ava Marie Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2022
Last updated Dec 1st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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