MRS. TALYA DAWN BRADFORD


Address: 9881 Brokenland Pkwy, Suite 105, Columbia, MD 21046-1172
Phone: 4438718815

MRS. TALYA DAWN BRADFORD (NPI# 1073742581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073742581
Entity Type Individual
Full Name MRS. TALYA DAWN BRADFORD
Other Name MISS TALYA DAWN BELCHATOVSKI
Credential LCPC
Practice Address 9881 Brokenland Pkwy
Suite 105
Columbia
MD 21046-1172
Mailing Address 111 Horizon Dr
Millersville
MD 21108-1758
Practice Telephone 4438718815
Mailing Telephone 4438718815
Enumeration Date 2009-07-06
Last Update Date 2011-01-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LC3182 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 654699 05
MD 0385921 00 05

Office Location

Street Address 9881 BROKENLAND PKWY
SUITE 105
City COLUMBIA
State MD
Zip Code 21046-1172

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003990607 Aimee E Mccullough Psychologist 9881 Brokenland Pkwy, 105, Columbia, MD 21046-1172 2006-10-24
1124356100 Bobbi Hitchcock Boteler Dietitian, Registered 9881 Brokenland Pkwy, Ste 105, Columbia, MD 21046-1172 2009-12-02
1588807580 Bodywise Physical Therapy & Acupuncture, LLC Clinic/Center 9881 Brokenland Pkwy, Columbia, MD 21046-1172 2009-04-07

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1649792698 Sharon Londeree Nurse Practitioner 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 2017-07-12
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1033722871 Laine Jones Counselor 455 Saint Andrews Rd # Suittec1, Columbia, SC 29210-4486 2020-08-30
1952914988 Oprah Ingram Counselor 9570 Two Notch Rd Ste 8, Columbia, SC 29223-4309 2020-08-28
1093339897 Bryant Rogers Counselor 2 Hempstead Pl, Columbia, SC 29229-7762 2020-06-08
1821627498 Christi Stewart Counselor 1809 Atascadero Dr, Columbia, SC 29206-1413 2020-04-06
1316577299 Chandra Hope Mossine Counselor 2012 Cherry Hill Dr Ste 102b, Columbia, MO 65203-5882 2020-01-20
1871132233 Patricia Dudley Counselor 6659 Buckstone Ct, Columbia, MD 21044-4103 2020-01-03
1871139790 James Roland Blucher Counselor 10545 Jason Ln, Columbia, MD 21044-2212 2019-11-26
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Competitor

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City COLUMBIA
Zip Code 21046

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Dataset Information

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.

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