BRANDI W BRADBURY LSAC
NPI 1891075206
Counselor - Addiction (Substance Use Disorder) in Ephraim, UT
Active since August 17, 2011
About Brandi W Bradbury Lsac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDI W BRADBURY LSAC (NPI 1891075206) is an individual addiction (substance use disorder) provider in Ephraim, Utah, licensed in Utah (72253396006) and active in the NPI registry since August 2011.
NPPES Registry Identity
NPI1891075206
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBRANDI W BRADBURYCredential: LSAC
Location Address152 N 400 WEphraim, UT 84627-5549
Mailing Address152 N 400 WEphraim, UT 84627-5549 · (435) 283-8400 · Fax (435) 283-8401
Phone(435) 283-8400
Fax(435) 283-8401
Sole ProprietorYes
Enumeration DateAugust 17, 2011
✔ NPI 1891075206 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in UT · 72253396006
152 N 400 W, Ephraim, UT 84627
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891075206, enumerated as an "individual" on August 17, 2011.
The provider is located at 152 N 400 W EPHRAIM, UT 84627 and the phone number is (435) 283-8400.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
