Mrs Terry Denise Bradley, MS, LPC | |
2431 W Main St, Suite 603, Dothan, AL 36301-1217 | |
(334) 673-8869 | |
(334) 673-8851 |
Full Name | Mrs Terry Denise Bradley |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2431 W Main St, Dothan, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033157847 | NPI | - | NPPES |
515-34689 | Other | AL | BCBS OF AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1784 (Alabama) | Primary |
Entity Name | Atyme4u Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962914077 PECOS PAC ID: 9830540616 Enrollment ID: O20240105001112 |
Mailing Address | Practice Location Address |
---|---|
Mrs Terry Denise Bradley, MS, LPC 2431 W Main St, Suite 603, Dothan, AL 36301-1217 Ph: (334) 673-8869 | Mrs Terry Denise Bradley, MS, LPC 2431 W Main St, Suite 603, Dothan, AL 36301-1217 Ph: (334) 673-8869 |
Mr. Bradford Lee Bullard, LIC PROFESSIONAL COU Counselor Medicare: Not Enrolled in Medicare Practice Location: 187 Belmont Drive, Dothan, AL 36305 Phone: 334-671-1280 Fax: 334-671-0475 | |
Mrs. Lori Lynn Chancy, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Medical Dr, Dothan, AL 36303 Phone: 334-702-7222 Fax: 334-712-0972 | |
Mary J Strother, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Medical Dr, Dothan, AL 36303 Phone: 334-702-7222 Fax: 334-712-0972 | |
Mrs. Emrist Anne Mustin, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Medical Dr, Dothan, AL 36303 Phone: 334-702-7222 | |
Donda Goodson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Preswick Dr, Dothan, AL 36305 Phone: 334-790-8362 | |
Mrs. Kimberly Andrews Caton, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Belmont Dr, Dothan, AL 36305 Phone: 334-671-1280 Fax: 334-671-0475 |