TINZLEY JUANITA BRADFORD WELLNESS COACH
NPI 1013670744
Counselor - Professional in Atlanta, GA
About Tinzley Juanita Bradford Wellness Coach NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINZLEY JUANITA BRADFORD WELLNESS COACH (NPI 1013670744) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (052362191) and active in the NPI registry since October 2021.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30318
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tinzley Bradford's NPI number?
The NPI number for Tinzley Bradford is 1013670744. It was assigned to this individual provider in the NPPES registry on October 19, 2021. The provider is also known as Tinzley Juanita Bradford Wellness Coach.
Where is Tinzley Bradford located?
Tinzley Bradford practices at 1040 W Marietta St NW, Atlanta, GA 30318. The listed phone number is (770) 572-4239.
What is Tinzley Bradford's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
When was this NPI record last updated?
The NPPES record for Tinzley Bradford was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tinzley Juanita Bradford, WELLNESS COACH · NPI 1013670744
Professional provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since October 19, 2021.
## Identity
- **NPI:** 1013670744 (Entity type: Individual)
- **Enumerated:** October 19, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 052362191 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1040 W MARIETTA ST NW, Atlanta, GA 30318-5218
- **Phone:** (770) 572-4239
## Record status
- **NPPES last updated:** October 19, 2021
- **Other identifiers:** Other 052362191 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1013670744) · Data from the CMS NPPES public registry.