MS. PATRICIA L. BRADLEY-BATES


Address: 10220 N 31st Ave, Suite 205, Phoenix, AZ 85051-9581
Phone: 6028430000

MS. PATRICIA L. BRADLEY-BATES (NPI# 1205897121) 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) 1205897121
Entity Type Individual
Full Name MS. PATRICIA L. BRADLEY-BATES
Other Name MS. PATRICIA L. BATES
Credential LPC, LISAC
Practice Address 10220 N 31st Ave
Suite 205
Phoenix
AZ 85051-9581
Practice Telephone 6028430000
Practice Fax Number 6029971305
Mailing Telephone 6028430000
Mailing Fax Number 6029971305
Enumeration Date 2006-03-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LISAC-0052 AZ Behavioral Health & Social Service Providers
X 101YP2500X Counselor
Specialization: Professional
LPC-0757 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 10220 N 31ST AVE
SUITE 205
City PHOENIX
State AZ
Zip Code 85051-9581

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407845233 Thomas William Callahan Social Worker 10220 N 31st Ave, Suite 205, Phoenix, AZ 85051-9581 2005-10-14
1699122127 Deborah Ross Cary Social Worker 10220 N 31st Ave, #120, Phoenix, AZ 85051-9581 2016-05-13
1962828681 Daniel Halter Nurse Practitioner 10220 N 31st Ave, Phoenix, AZ 85051-9581 2014-03-06
1184924904 Arash Zamanian Specialist 10220 N 31st Ave, Suite #101, Phoenix, AZ 85051-9581 2010-10-26
1922143833 Kimberly Dawn Nielsen Social Worker 10220 N 31st Ave, #101, Phoenix, AZ 85051 2007-02-20
1093893927 Johanna C Lippert Nurse Practitioner 10220 N 31st Ave, Phoenix, AZ 85051-9562 2006-11-01
1225043755 Southwest Behavioral Health Services Clinic/Center 10220 N 31st Ave, Phoenix, AZ 85051-9581 2006-07-31
1649250986 Cynthia Kay Tobin Nurse Practitioner 10220 N 31st Ave, #101, Phoenix, AZ 85051 2006-01-20
1558352310 Heidi H Howard Social Worker 10220 N 31st Ave, #205, Phoenix, AZ 85051-9581 2005-11-02

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85051

Improve Information

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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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