Dr Michelle Bradham-cousar, PHD, CRC, LMHC, NCC is a
Rehabilitation Counselor based in Tampa, Florida. Dr Michelle Bradham-cousar is licensed to practice in Florida (license number 00102595) and her current practice location is
1503 S Us 301 Unit 92, Tampa, Florida. She can be reached at her office (for appointments etc.) via phone at
(941) 250-5446.
NPI number for Dr Michelle Bradham-cousar is 1417601097 and her current mailing address is 10121 E Adamo Dr Unit 89761, Tampa, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417601097.
Healthcare Provider's Profile
Full Name | Dr Michelle Bradham-cousar |
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Gender | Female |
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Speciality | Rehabilitation Counselor |
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Location | 1503 S Us 301 Unit 92, Tampa, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417601097
- Provider Enumeration Date: 02/11/2022
- Last Update Date: 02/11/2022
Medical Identifiers
Medical identifiers for Dr Michelle Bradham-cousar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417601097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Florida) | Secondary |
172V00000X | Community Health Worker | (Florida) | Secondary |
225C00000X | Rehabilitation Counselor | 00102595 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michelle Bradham-cousar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Michelle Bradham-cousar, PHD, CRC, LMHC, NCC 10121 E Adamo Dr Unit 89761, Tampa, FL 33689-9038 Ph: () - | Dr Michelle Bradham-cousar, PHD, CRC, LMHC, NCC 1503 S Us 301 Unit 92, Tampa, FL 33619 Ph: (941) 250-5446 |
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