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KARIMAH IONA BRADLEY LCAS LCMHC NPI 1407301658


NPI Information

NPI: 1407301658
Provider Name: KARIMAH IONA BRADLEY, LCAS, LCMHC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
615 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412
Phone: (910) 343-0145
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Karimah Iona Bradley, LCAS, LCMHC is a professional counselor in Wilmington, NC. Karimah Iona Bradley, LCAS, LCMHC NPI is 1407301658. 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:

615 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412-431
Phone: (910) 343-0145

The NPI 1407301658 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/17/2016 and was last updated on 4/18/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)LCAS-27294NORTH CAROLINANo
2101YM0800XCounselorMental HealthA16625NORTH CAROLINANo
3101YM0800XCounselorMental Health16625NORTH CAROLINANo
4101YP2500XCounselorProfessionalA16625NORTH CAROLINANo
5101YP2500XCounselorProfessional16625NORTH CAROLINAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.