ANNA MISTRETTA-BRADLEY LPC NPI 1497099428

NPI Information

NPI: 1497099428
Provider Name: ANNA MISTRETTA-BRADLEY, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2601 SUMMERS ST NW STE 200
KENNESAW, GA
ZIP 30144
Phone: (404) 883-7526
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Anna Mistretta-bradley, LPC is a mental health counselor in Kennesaw, GA. Anna Mistretta-bradley, LPC NPI is 1497099428. 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:

2601 SUMMERS ST NW STE 200
KENNESAW, GA
ZIP 30144-548
Phone: (404) 883-7526

The enumeration date for this NPI number is 11/15/2012 and was last updated on 1/7/2024.

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	101YM0800X	Counselor	Mental Health	APC003576	GEORGIA	No
2	101YM0800X	Counselor	Mental Health	LPC008417	GEORGIA	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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