FAMILY MATTERS BRADLEY (NPI# 1467996504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467996504 |
| Entity Type | Organization |
| Organization Name | FAMILY MATTERS BRADLEY |
| Practice Address |
423 Central Ave Nw Cleveland TN 37311-4923 |
| Practice Telephone | 4234761933 |
| Practice Fax Number | 4235591848 |
| Mailing Telephone | 4234761933 |
| Mailing Fax Number | 4235591848 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |
| Authorized Official Name | DR. JOHN KIE VINING (CHAIRMAN OF BOARD) |
| Authorized Official Telephone | 4234761933 |
| Authorized Official Credential | CMIN, LPC, MHSP, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC0000000694 | TN | Behavioral Health & Social Service Providers |
| Street Address |
423 CENTRAL AVE NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850951 | Lindsay L. Hathcock Jr. | Chiropractor | 423 Central Ave Nw, Cleveland, TN 37311-4923 | 2005-06-10 |
| 1841823960 | Kellie Humbert Knapp | Counselor | 423 Central Ave Nw, Cleveland, TN 37311-4923 | 2020-02-17 |
| 1215493978 | Transformation Center-cleveland | Community/Behavioral Health | 423 Central Ave Nw, Cleveland, TN 37311-4923 | 2019-02-18 |
| 1578741898 | Bradley Cleveland Rehab Services | Community/Behavioral Health | 423 Central Ave Nw, Cleveland, TN 37311-4923 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726987 | Stacy Lynn Reynolds | Counselor | 112 Shade Crest Ln, Cleveland, TX 77327-4343 | 2020-10-05 |
| 1972100196 | April Ballard | Counselor | 14100 Cedar Rd Ste 290, Cleveland, OH 44121-3212 | 2020-10-01 |
| 1952924078 | Chana Rivka Hersh | Counselor | 3762 Bainbridge Rd, Cleveland, OH 44118-2244 | 2020-05-22 |
| 1033739792 | Cassandra Felice Franklin | Counselor | 6629 Worley Ave, Cleveland, OH 44105-3719 | 2020-04-23 |
| 1477189777 | Trauma Recovery and Counseling Services LLC | Counselor | 3886 Rocky River Dr, Cleveland, OH 44111-4119 | 2020-03-18 |
| 1023581758 | Edward Lee Varner | Counselor | 2292 Chambliss Ave Nw Ste C-2, Cleveland, TN 37311-3862 | 2019-01-04 |
| 1093217275 | Carmen Burrows | Counselor | 22001 Fairmount Blvd Bldg K, Cleveland, OH 44118-4819 | 2018-03-05 |
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1538679139 | Heidi Ables | Counselor | 1225 Wildwood Ave Se, Cleveland, TN 37311-6916 | 2017-10-09 |
| 1679092720 | Megan Davis | Counselor | 1115 Rowley Ave, Cleveland, OH 44109-1843 | 2017-09-10 |
| Find all providers in CLEVELAND | ||||
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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.