| Destiny D Bradley, MED, LPC, NCC | |
|
201 Baker Blvd, Leland, MS 38756-3401 | |
| (662) 686-4121 | |
| (662) 686-4770 |
| Full Name | Destiny D Bradley |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 201 Baker Blvd, Leland, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437802147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3065 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny D Bradley, MED, LPC, NCC 219 N First Ave, Cleveland, MS 38732-2521 Ph: (662) 641-2948 | Destiny D Bradley, MED, LPC, NCC 201 Baker Blvd, Leland, MS 38756-3401 Ph: (662) 686-4121 |
Mr. Matthew Ray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 703 E 3rd St, Leland, MS 38756 Phone: 662-336-3301 | |
Sheena Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Baker Blvd, Leland, MS 38756 Phone: 662-686-4121 Fax: 662-686-4770 | |
Mrs. Abbie Sightler Robinson, M.ED. Counselor Medicare: Medicare Enrolled Practice Location: 201 Baker Blvd, Leland, MS 38756 Phone: 662-686-4121 Fax: 662-686-4770 | |
Dr. Shelly Frazier Fowler, PHD, LPC, NCC, NCSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 506 S Deer Creek Dr W, Leland, MS 38756 Phone: 662-686-0223 | |
Mrs. Michelle B Clem, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Baker Blvd, Leland, MS 38756 Phone: 662-686-4121 Fax: 662-686-4770 | |
Robdreka Shaw, LPC Counselor Medicare: Medicare Enrolled Practice Location: 201 Baker Blvd, Leland, MS 38756 Phone: 662-686-4121 Fax: 662-686-4770 |