KIRA S BRADLEY CACII NPI 1023301405

NPI Information

  • NPI: 1023301405
  • Provider Name: KIRA S BRADLEY, CACII
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 5524 OLD NATIONAL HWY
    COLLEGE PARK, GA
    ZIP 30349
  • Phone: (404) 763-8555

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NPI Details

Kira S Bradley, CACII is an addiction (substance use disorder) counselor in College Park, GA. Kira S Bradley, CACII NPI is 1023301405. 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:

5524 OLD NATIONAL HWY
COLLEGE PARK, GA
ZIP 30349-212
Phone: (404) 763-8555
Fax: (404) 763-8502

The enumeration date for this NPI number is 5/18/2011 and was last updated on 5/18/2011.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)1906GEORGIAYes

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: 3/30/2025

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