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CRYSTAL D BRADSHAW LPC
NPI 1699908434
Counselor - Professional in Marietta, GA

Active since August 27, 2009
3225 SHALLOWFORD RD STE 710, SUITE 114 #203, MARIETTA, GA 30062(770) 364-9005 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal D Bradshaw Lpc NPPES

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

CRYSTAL D BRADSHAW LPC (NPI 1699908434) is an individual professional provider in Marietta, Georgia, licensed in Georgia (LPC006953) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1699908434
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCRYSTAL D BRADSHAWCredential: LPC
Location Address3225 SHALLOWFORD RD STE 710, SUITE 114 #203Marietta, GA 30062
Mailing Address12195 Highway 92, Suite 114 #203Woodstock, GA 30188 · (770) 364-9005
Phone(770) 364-9005
Sole ProprietorYes
Enumeration DateAugust 27, 2009
Last NPPES UpdateMarch 5, 2021
NPPES CertifiedFebruary 16, 2021
✔ NPI 1699908434 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 GA · LPC006953
3225 SHALLOWFORD RD STE 710, Marietta, GA 30062
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Other Providers at the Same Location NPPES

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

PIVOT POINT COUNSELING SERVICES
Clinic/Center (Adolescent and Children Mental Health)
3225 SHALLOWFORD RD STE 710
MARIETTA, GA 30062
Cobb County (678) 948-6003

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 Crystal Bradshaw's NPI number?

The NPI number for Crystal Bradshaw is 1699908434. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Where is Crystal Bradshaw located?

Crystal Bradshaw practices at 3225 Shallowford Rd Ste 710 Suite 114 #203, Marietta, GA 30062. The listed phone number is (770) 364-9005.

What is Crystal Bradshaw'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 Crystal Bradshaw was last updated on March 5, 2021. 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.