ANDREA BULLOCK BRADLEY (NPI# 1952551426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952551426 |
| Entity Type | Individual |
| Full Name | ANDREA BULLOCK BRADLEY |
| Credential | ED.S., LPC |
| Practice Address |
1709 Laurel St Columbia SC 29201-2624 |
| Practice Telephone | 8037650700 |
| Practice Fax Number | 8037651607 |
| Mailing Telephone | 8037650700 |
| Mailing Fax Number | 8037651607 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2011-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881140069 | Andrea Jean Bradley | Physical Therapist | 2400 Mcvey Ct, Columbus, OH 43235-2835 | 2016-08-29 |
| 1194125948 | Andrea Bradley | Behavior Technician | 662 Youngstown Pkwy, 202, Altamonte Springs, FL 32714-4529 | 2014-08-29 |
| Street Address |
1709 LAUREL ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295764058 | Jennifer J Wolff | Social Worker | 1709 Laurel St, Columbia, SC 29201-2624 | 2006-07-02 |
| 1114355310 | Kyra L Hufford | Counselor | 1709 Laurel St, Columbia, SC 29201-2624 | 2013-10-24 |
| 1487991667 | Colleen Margaret Corbin | Social Worker | 1709 Laurel St, Columbia, SC 29201-2624 | 2013-01-09 |
| 1508134859 | Lauren Marie Rosinski | Social Worker | 1709 Laurel St, Columbia, SC 29201-2624 | 2011-12-01 |
| 1841511011 | Debbie C Sturm | Counselor | 1709 Laurel St, Columbia, SC 29201-2624 | 2010-06-22 |
| 1023130150 | Post Trauma Resources, LLC | Counselor | 1709 Laurel St, Columbia, SC 29201-2624 | 2007-04-06 |
| 1871625590 | Lisa Anne Southworth | Counselor | 1709 Laurel St, Columbia, SC 29201-2624 | 2007-03-09 |
| 1750412813 | Jamine Ladd Leslie | Social Worker | 1709 Laurel St, Columbia, SC 29201-2624 | 2007-03-08 |
| 1407904923 | Lawrence H Bergmann | Counselor | 1709 Laurel St, Columbia, SC 29201-2624 | 2007-01-08 |
| 1598824005 | Meredith Bond Koss | Counselor | 1709 Laurel St, Columbia, SC 29201-2624 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133407 | Julianne Grace Patchan | Counselor | 9518 Sweet Grass Rdg, Columbia, MD 21046-2066 | 2020-10-27 |
| 1386242485 | The Oak Center for Dbt & Counseling Services, LLC | Counselor | 19 E Walnut St Ste D, Columbia, MO 65203-4505 | 2020-10-12 |
| 1477151538 | Gabriela Rios-martinez | Counselor | 10310 Swift Stream Pl Apt 405, Columbia, MD 21044-4899 | 2020-10-12 |
| 1508470840 | Christine Schaub | Counselor | 214 Autumn Run Cir, Columbia, SC 29229-7622 | 2020-09-03 |
| 1639780190 | Courtnay Kopec LLC | Counselor | 6309 Beechwood Dr, Columbia, MD 21046-1008 | 2020-08-10 |
| 1083224828 | Elite Transformant Solutions | Counselor | 6701 Bailey St, Columbia, SC 29203-7454 | 2020-08-06 |
| 1083223671 | Grant B Counseling & Consultation, LLC | Counselor | 702 Wildlife Ln, Columbia, SC 29209-3464 | 2020-07-29 |
| 1992323166 | Deitrich Andera Drayton | Counselor | 517 Howard St, Columbia, SC 29205-3820 | 2020-07-13 |
| 1033736202 | Trinicia Renee Lavon Jackson | Counselor | 6530 Davidson St Apt C1, Columbia, SC 29209-1732 | 2020-07-02 |
| 1497379648 | The Garnet Oak | Counselor | 215 Faircrest Way, Columbia, SC 29229-9244 | 2020-06-03 |
| Find all providers in COLUMBIA | ||||
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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.