TINZLEY JUANITA BRADFORD WELLNESS COACH NPI 1013670744

NPI Information

NPI: 1013670744
Provider Name: TINZLEY JUANITA BRADFORD, WELLNESS COACH
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1040 W MARIETTA ST NW
ATLANTA, GA
ZIP 30318
Phone: (770) 572-4239
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Tinzley Juanita Bradford, WELLNESS COACH is a professional counselor in Atlanta, GA. Tinzley Juanita Bradford, WELLNESS COACH NPI is 1013670744. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1040 W MARIETTA ST NW
ATLANTA, GA
ZIP 30318-218
Phone: (770) 572-4239

The enumeration date for this NPI number is 10/19/2021 and was last updated on 10/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	052362191	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	052362191	OTHER	GEORGIA	DRIVERS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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