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BLAIRE BRADBURY LAC
NPI 1568069169
Counselor - Professional in Fayetteville, AR

Active since October 06, 2020
1466 N DESOTO PL, FAYETTEVILLE, AR 72703(479) 544-1202 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blaire Bradbury Lac NPPES

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

BLAIRE BRADBURY LAC (NPI 1568069169) is an individual professional provider in Fayetteville, Arkansas, licensed in Arkansas (A2009127) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1568069169
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBLAIRE BRADBURYCredential: LAC
Location Address1466 N DESOTO PLFayetteville, AR 72703-1953
Mailing Address1466 N Desoto PlFayetteville, AR 72703-1953 · (479) 544-1202
Phone(479) 544-1202
Sole ProprietorNo
Enumeration DateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
✔ NPI 1568069169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · A2009127
1466 N DESOTO PL, Fayetteville, AR 72703
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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 Blaire Bradbury's NPI number?

The NPI number for Blaire Bradbury is 1568069169. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Blaire Bradbury located?

Blaire Bradbury practices at 1466 N Desoto Pl, Fayetteville, AR 72703. The listed phone number is (479) 544-1202.

What is Blaire Bradbury'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 Blaire Bradbury was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.