Shirley Dian Bradshaw, LMHC is a
Counselor - Mental Health based in Satellite Bch, Florida. Shirley Dian Bradshaw is licensed to practice in Florida (license number MH 9333) and her current practice location is
1127 S Patrick Dr, #24, Satellite Bch, Florida. She can be reached at her office (for appointments etc.) via phone at
(321) 773-1111.
NPI number for Shirley Dian Bradshaw is 1679899744 and her current mailing address is 1127 S Patrick Dr, #24, Satellite Bch, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679899744.
Healthcare Provider's Profile
Full Name | Shirley Dian Bradshaw |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1127 S Patrick Dr, Satellite Bch, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679899744
- Provider Enumeration Date: 04/14/2010
- Last Update Date: 06/26/2010
Medical Identifiers
Medical identifiers for Shirley Dian Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679899744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MH 9333 (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. Shirley Dian Bradshaw 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 |
Shirley Dian Bradshaw, LMHC 1127 S Patrick Dr, #24, Satellite Bch, FL 32937-3939 Ph: (321) 773-1111 | Shirley Dian Bradshaw, LMHC 1127 S Patrick Dr, #24, Satellite Bch, FL 32937-3939 Ph: (321) 773-1111 |
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