1. Home
  2. Directory
  3. Arkansas
  4. Wynne
  5. Counselor
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TABATHA BRADLEY LAC
NPI 1184468472
Counselor - Professional in Wynne, AR

Active since June 21, 2024
204 MISSISSIPPI ST S, WYNNE, AR 72396(870) 208-8499 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2026, Jun 21, 2024 (2 updates tracked since 2024).

About Tabatha Bradley Lac NPPES

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

TABATHA BRADLEY LAC (NPI 1184468472) is an individual professional provider in Wynne, Arkansas, licensed in Arkansas (P2608004) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1184468472
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTABATHA BRADLEYCredential: LAC
Location Address204 MISSISSIPPI ST SWynne, AR 72396-3025
Mailing Address204 Mississippi St SWynne, AR 72396-3025 · (870) 208-8499
Phone(870) 208-8499
Sole ProprietorYes
Enumeration DateJune 21, 2024
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1184468472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P2608004
Also ListedCounselorTaxonomy 101Y00000X · License A2406004 (AR)
204 MISSISSIPPI ST S, Wynne, AR 72396
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

KRISTIN HALLMARK
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
KAYLA GATES
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
ALLIE TRAIL
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
CHANGES BEHAVIORAL HEALTH, LLC
Community/Behavioral Health
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
RYLEE RATTON LCSW
Social Worker (Clinical)
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
LESLIE D TINZIE
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
BRANDI CAFFEY LCSW
Social Worker (Clinical)
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
CAMBRA HARRIS QBHP
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499

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 Tabatha Bradley's NPI number?

The NPI number for Tabatha Bradley is 1184468472. It was assigned to this individual provider in the NPPES registry on June 21, 2024.

Where is Tabatha Bradley located?

Tabatha Bradley practices at 204 Mississippi St S, Wynne, AR 72396. The listed phone number is (870) 208-8499.

What is Tabatha Bradley'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 Tabatha Bradley was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.