BRADFORD COLEMAN
NPI 1104241975
Counselor - Mental Health in Valdosta, GA

Active since March 03, 2014
1805 GREEN CIR, VALDOSTA, GA 31602(229) 415-7621 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradford Coleman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADFORD COLEMAN (NPI 1104241975) is an individual mental health provider in Valdosta, Georgia, licensed in Georgia (LPC010091) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1104241975
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRADFORD COLEMAN
Location Address1805 GREEN CIRValdosta, GA 31602-2734
Mailing Address1805 Green CirValdosta, GA 31602-2734 · (229) 415-7621
Sole ProprietorYes
Enumeration DateMarch 3, 2014
Last NPPES UpdateJuly 9, 2019
NPI 1104241975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · LPC010091
1805 GREEN CIR, Valdosta, GA 31602

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
1805 GREEN CIR
VALDOSTA, GA 31602
Counselor (Professional)
1805 GREEN CIR
VALDOSTA, GA 31602

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 Bradford Coleman's NPI number?

The NPI number for Bradford Coleman is 1104241975. It was assigned to this individual provider in the NPPES registry on March 3, 2014.

Where is Bradford Coleman located?

Bradford Coleman practices at 1805 Green Cir, Valdosta, GA 31602. The listed phone number is (229) 415-7621.

What is Bradford Coleman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Bradford Coleman accept?

Health plans from Providence Health Plan list Bradford Coleman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradford Coleman was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.