| Bradley Behavioral Health, Pllc | |
|
3805 Toyon Dr Raleigh NC 27616-8605 | |
| (984) 247-9774 | |
| (984) 223-7779 |
| Full Name | Bradley Behavioral Health, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3805 Toyon Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Sharon Bradley (OWNER) |
| Authorized Official Contact | 9842479774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Behavioral Health, Pllc 3805 Toyon Dr Raleigh NC 27616-8605 Ph: () - | Bradley Behavioral Health, Pllc 3805 Toyon Dr Raleigh NC 27616-8605 Ph: (984) 247-9774 |
| NPI Number | 1467133967 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Medicare PECOS PAC ID | 5991168569 |
|---|---|
| Medicare Enrollment ID | O20230830000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467133967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sharon Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043769912 PECOS PAC ID: 6800259474 Enrollment ID: I20230830000115 |
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