Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAVONTAE BRADLEY
Active Sole ProprietorJAVONTAE BRADLEY is a Mental Health Counselor healthcare provider located in CHARLOTTE, North Carolina. NPI 1689494841 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · CHARLOTTE, NC
Registration Details
- NPI Number
- 1689494841
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2024 (1.8085286103494 yrs)
- Last Updated
- Sep 11, 2025
- License
-
A20178 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4108 PARK RD STE 410CHARLOTTE, NC, 282092262Browse NC providers · Browse ZIP 28209
- Phone
- 9809498990
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| MS. ELIZABETH MARIE BENNETT-HILL | LPC | 1265437149 |
| MR. RAYMOND L GRUBBS | LMFT | 1265422539 |
| MS. CYNTHIA GRIFFIRTH TICE | MA, LPC, NCC, CCAS | 1851370076 |
| RICHARD MALNATI | MSW LCSW | 1568442507 |
| MRS. LILLIE MARIE JACOBS | LCSW | 1750332540 |
| MS. LAURIE P.. REED | M.ED., M.S.W. | 1225081565 |
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.