MR. BRADLEY WAYNE ADAMS NPI 1326421801

NPI Information

NPI: 1326421801
Provider Name: MR. BRADLEY WAYNE ADAMS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Individual
Address:
23515 HIGHWAY 190
MANDEVILLE, LA
ZIP 70448
Phone: (985) 624-4100
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MR. Bradley Wayne Adams is a substance abuse rehabilitation facility in Mandeville, LA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MR. Bradley Wayne Adams NPI is 1326421801. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23515 HIGHWAY 190
MANDEVILLE, LA
ZIP 70448-334
Phone: (985) 624-4100

The enumeration date for this NPI number is 7/2/2015 and was last updated on 7/2/2015.

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	324500000X	Substance Abuse Rehabilitation Facility		083102	LOUISIANA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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