MS. ANITRA LYNETTE BRADFORD (NPI# 1124218177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124218177 |
| Entity Type | Individual |
| Full Name | MS. ANITRA LYNETTE BRADFORD |
| Credential | LAC |
| Practice Address |
621 E North St Magnolia AR 71753-3120 |
| Mailing Address |
1600 Aldersgate Rd Ste 200 Little Rock AR 72205-6676 |
| Practice Telephone | 8702340739 |
| Mailing Telephone | 5016610720 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
A0710078 | AR | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
P1012084 | AR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 728 W Monroe, Magnolia, AR 717533459 | 8702342705 |
| Street Address |
621 E NORTH ST |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688155 | Uniqua Weathersby | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2020-08-10 |
| 1457900409 | Katie Crew | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2019-09-11 |
| 1356824999 | Trena Noble | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2018-09-10 |
| 1841705324 | Keyana Byrd | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2017-12-06 |
| 1427417757 | Kasi Nicole Easter | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2016-02-15 |
| 1528423902 | Michael Gillard | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753-3120 | 2015-12-29 |
| 1205218088 | Sharon Mcmullan | Case Manager/Care Coordinator | 621 E North St, Magnolia, AR 71753 | 2015-06-29 |
| 1114264769 | Toni Marie Hagins | Counselor | 621 E North St, Magnolia, AR 71753 | 2013-01-15 |
| 1457598393 | United Methodist Behavioral Health System, Inc | Clinic/Center | 621 E North St, Magnolia, AR 71753-3120 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405905 | Cambron Counseling | Counselor | 33300 Egypt Ln Ste K900, Magnolia, TX 77354-3338 | 2020-10-21 |
| 1356804793 | Angela Marie Lilly | Counselor | 7211 Standard Rd, Magnolia, TX 77354-3060 | 2019-04-11 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1295152072 | Courtney Padden | Counselor | 31355 Friendship Dr, Suite 400, Magnolia, TX 77355-2603 | 2014-03-18 |
| 1801129655 | M.e. Martyn | Counselor | 6606 Fm 1488 Rd Ste 148-358, Magnolia, TX 77354 | 2009-09-11 |
| 1164666939 | Rebecca Leigh Snyder | Counselor | 11911 Julia Ln, Magnolia, TX 77354-1318 | 2009-04-23 |
| 1821088808 | Roger E. Foxall | Counselor | 33114 Forest West St, Magnolia, TX 77354-6844 | 2005-10-21 |
| 1609401579 | Mary Beth Mccabe | Counselor | 212 E Madison Ave, Magnolia, NJ 08049-1409 | 2020-03-11 |
| 1063990406 | Anna Catherine Lunde | Counselor | 33300 Egypt Ln Ste I200, Magnolia, TX 77354-2741 | 2018-07-28 |
| 1992197438 | Stephen Attebery | Counselor | 1617 N Washington, Magnolia, AR 71753-2046 | 2015-02-20 |
| Find all providers in MAGNOLIA | ||||
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| 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.