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DIANE K. BRADSHAW MS
NPI 1396912986
Counselor - Mental Health in Grimesland, NC

Active since May 13, 2008
367 GREAT FOREST RD, GRIMESLAND, NC 27837(252) 916-4613(252) 328-4868 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Diane K. Bradshaw Ms NPPES

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

DIANE K. BRADSHAW MS (NPI 1396912986) is an individual mental health provider in Grimesland, North Carolina, licensed in North Carolina (7216) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1396912986
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDIANE K. BRADSHAWCredential: MS
Location Address367 GREAT FOREST RDGrimesland, NC 27837-9049
Mailing Address367 Great Forest RdGrimesland, NC 27837-9049 · (252) 916-4613 · Fax (252) 328-4868
Phone(252) 916-4613
Fax(252) 328-4868
Sole ProprietorYes
Enumeration DateMay 13, 2008
Last NPPES UpdateJuly 17, 2012
✔ NPI 1396912986 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 NC · 7216
367 GREAT FOREST RD, Grimesland, NC 27837
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Other Identifiers 1

Other11767847PA · Caqh

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 Diane Bradshaw's NPI number?

The NPI number for Diane Bradshaw is 1396912986. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Diane Bradshaw located?

Diane Bradshaw practices at 367 Great Forest Rd, Grimesland, NC 27837. The listed phone number is (252) 916-4613.

What is Diane Bradshaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Diane Bradshaw was last updated on July 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.