Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TABATHA BRADLEY, LAC
Active Sole ProprietorTABATHA BRADLEY, LAC is a Counselor healthcare provider located in WYNNE, Arkansas. NPI 1184468472 is currently active in the NPPES registry. Verify at CMS.
Counselor · WYNNE, AR
Registration Details
- NPI Number
- 1184468472
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2024 (2.1158216870955 yrs)
- Last Updated
- Jun 21, 2024
- License
-
A2406004 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
204 MISSISSIPPI ST SWYNNE, AR, 723963025Browse AR providers · Browse ZIP 72396
- Phone
- 8702088499
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in WYNNE, AR
| Name | Credential | NPI |
|---|---|---|
| TARA LAIRD | — | 1821573841 |
| AMANDA TURNBOW | — | 1275018293 |
| RASHAD ALEEM | QBHP | 1891270963 |
| LEVI DAVID PRUITT | — | 1902377468 |
| MANDI MACHELLE BALL | — | 1932776978 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.