Lisa Ann Bradley, LAPC | |
189 Charleston Ave, Bremen, GA 30110-7914 | |
(770) 748-2225 | |
Not Available |
Full Name | Lisa Ann Bradley |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 189 Charleston Ave, Bremen, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063878114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | APC003475 (Georgia) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120504000149 |
Mailing Address | Practice Location Address |
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Lisa Ann Bradley, LAPC 189 Charleston Ave, Bremen, GA 30110-7914 Ph: (770) 748-2225 | Lisa Ann Bradley, LAPC 189 Charleston Ave, Bremen, GA 30110-7914 Ph: (770) 748-2225 |
Audrey Smith, CARES, AD, PP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1449 Temple Rd, Bremen, GA 30110 Phone: 770-537-2367 | |
Mrs. Virginia Ward, SST Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Alabama Avenue, Bremen, GA 30110 Phone: 770-537-2367 Fax: 770-537-1203 | |
Ms. Jamie Leigh Brown, M.ED. Counselor Medicare: Medicare Enrolled Practice Location: 1449 Temple Rd, Bremen, GA 30110 Phone: 770-537-2367 Fax: 770-537-1203 | |
Ms. Cathy S Miller, SST-2 Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Alabama Avenue, Bremen, GA 30110 Phone: 770-537-2367 Fax: 770-537-1203 | |
Sara Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Buchanan St N, Bremen, GA 30110 Phone: 770-328-0746 | |
Mr. William Cleveland Tidwell Jr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Alabama Avenue, Bremen, GA 30110 Phone: 770-537-2367 Fax: 770-537-1203 |