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TABATHA BRADLEY LAC
NPI 1184468472
Counselor 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: June 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 counselor in Wynne, Arkansas, licensed in Arkansas (A2406004) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1184468472
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
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
NPPES CertifiedJune 21, 2024
✔ NPI 1184468472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AR · A2406004
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

204 MISSISSIPPI ST S, Wynne, AR 72396
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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 with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tabatha Bradley was last updated on June 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.