MRS. ALICIA G BRADSHAW (NPI# 1053944397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053944397 |
| Entity Type | Individual |
| Full Name | MRS. ALICIA G BRADSHAW |
| Other Name | MS. ALICIA N GARCIA |
| Credential | MS, MFTI |
| Practice Address |
7111 Lee Hwy Chattanooga TN 37421-6706 |
| Mailing Address |
204 Brookwood Dr Chattanooga TN 37411-1803 |
| Practice Telephone | 4234028256 |
| Mailing Telephone | 4234028256 |
| Mailing Fax Number | 4235414148 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1511 | TN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 930 Ashland Ter, Chattanooga, TN 374153554 | 4234028256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821233859 | Alicia Kim Bradshaw | Counselor | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2008-12-04 |
| Street Address |
7111 LEE HWY |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-6706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932732922 | Meredith Claire Fielder | Marriage & Family Therapist | 6224 Airpark Dr, Chattanooga, TN 37421-2988 | 2020-02-18 |
| 1285127944 | Kristin Stark | Marriage & Family Therapist | 1307 Hixson Pike, Chattanooga, TN 37405 | 2018-06-07 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1073013587 | Heather Ann Harrison Dryden | Marriage & Family Therapist | 1401 Carter St Ste 102, Chattanooga, TN 37402-4414 | 2018-02-20 |
| 1528425683 | Mychelle Pinkerton | Marriage & Family Therapist | 3505 Brainerd Rd Ste 1, Chattanooga, TN 37411-2709 | 2016-01-20 |
| 1861866774 | Bonnie Mckinney | Marriage & Family Therapist | 6326 Air Park Dr. Ste. A, Chattanooga, TN 37421 | 2015-11-17 |
| 1649648353 | Ryan Danielle Miller | Marriage & Family Therapist | 7446 Shallowford Rd Ste 112116, Chattanooga, TN 37421-8815 | 2015-09-11 |
| 1336570084 | Gary Mauldin | Marriage & Family Therapist | 536 S Crest Rd, Chattanooga, TN 37404-5917 | 2013-12-05 |
| 1043537632 | Nickole Renea Moore | Marriage & Family Therapist | 901 Mountain Creek Rd Ste 200, Chattanooga, TN 37405-4645 | 2010-04-22 |
| 1770816100 | Brandon Ellis Rodgers | Marriage & Family Therapist | 1101 Carter St, Chattanooga, TN 37402-5017 | 2009-09-17 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on MRS. ALICIA G BRADSHAW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.