Robert Bradley, LPC | |
804 Industrial Park Rd, Maxwelton, WV 24957-8066 | |
(304) 497-0500 | |
Not Available |
Full Name | Robert Bradley |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 804 Industrial Park Rd, Maxwelton, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154878346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2871 (West Virginia) | Primary |
Entity Name | Seneca Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154532513 PECOS PAC ID: 8022005263 Enrollment ID: O20040428001502 |
Mailing Address | Practice Location Address |
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Robert Bradley, LPC 804 Industrial Park Rd, Maxwelton, WV 24957-8066 Ph: (304) 497-0500 | Robert Bradley, LPC 804 Industrial Park Rd, Maxwelton, WV 24957-8066 Ph: (304) 497-0500 |
Arielle Estes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Industrial Park Rd, Maxwelton, WV 24957 Phone: 304-497-0500 | |
Christopher Wayne Holland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 Industrial Park Road, Maxwelton, WV 24957 Phone: 304-497-2850 | |
Mackenzie Emma Taylor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Industrial Park Rd, Maxwelton, WV 24957 Phone: 304-497-0500 | |
Susan Byers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Industrial Park Rd, Maxwelton, WV 24957 Phone: 304-497-0500 | |
Rachel Renae Biesemeyer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 105 Yellow Brick Rd, Maxwelton, WV 24957 Phone: 540-353-9433 |