NPI 1053755983 · live from the CMS NPI Registry
Nicola Simone Bradley, LMFT
Marriage & Family Therapist in Albany, GA. National Provider Identifier 1053755983, active.
NPI record
| NPI | 1053755983 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 500 W 3rd Ave, Suite 105, Albany, GA 31701 |
| Practice phone | 229-312-7001 |
| Enumerated | April 22, 2013 |
| Last updated | April 22, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT001157 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.