HEATH RAY BRADLEY (NPI# 1275164782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275164782 |
| Entity Type | Individual |
| Full Name | HEATH RAY BRADLEY |
| Credential | LAC |
| Practice Address |
515 Enterprise Dr Ste 300 Lowell AR 72745-8982 |
| Mailing Address |
6 Mayfair Ln Bella Vista AR 72715-5352 |
| Practice Telephone | 4797177626 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518237148 | Heath Courtland Bradley | Military Health Care Provider | Uss Vandegrift, Ffg 48, Fpo, AP 96682-1502 | 2012-01-12 |
| Street Address |
515 ENTERPRISE DR STE 300 |
| City | LOWELL |
| State | AR |
| Zip Code | 72745-8982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144482498 | Lindsey Anne Myers | Counselor | 515 Enterprise Dr Ste 300, Lowell, AR 72745-8982 | 2008-06-27 |
| 1235600099 | Erika Leticia Nielsen | Counselor | 515 Enterprise Dr Ste 300, Lowell, AR 72745 | 2018-12-05 |
| 1366965196 | Marcus T Benson | Counselor | 515 Enterprise Dr Ste 300, Lowell, AR 72745-8982 | 2017-07-24 |
| 1750811394 | Ryan Cowell | Counselor | 515 Enterprise Dr Ste 300, Lowell, AR 72745-8982 | 2017-06-15 |
| 1962946848 | Sarah Michelle Hudson | Social Worker | 515 Enterprise Dr Ste 300, Lowell, AR 72745-8982 | 2016-12-12 |
| 1639435142 | Brandon Patrick Corbett | Psychiatry & Neurology | 515 Enterprise Dr Ste 300, Lowell, AR 72745 | 2012-04-09 |
| 1538477369 | Jaime Lynn Sather | Nurse Practitioner | 515 Enterprise Dr Ste 300, Lowell, AR 72745 | 2010-09-14 |
| 1215183280 | Tara M Cole | Psychologist | 515 Enterprise Dr Ste 300, Lowell, AR 72745 | 2008-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518442706 | Harps Food Stores, Inc. | Pharmacy | 916 W Monroe Ave., Lowell, AR 72745 | 2018-10-03 |
| 1801300405 | Sarah Elizabeth Bright | Speech-Language Pathologist | 121 South Ave., Lowell, AR 72745 | 2017-11-20 |
| 1306398151 | Keegan Sutton | Occupational Therapist | 612 S Lincoln, Ste A, Lowell, AR 72745 | 2016-10-27 |
| 1922470368 | Sharon Hunter | Contractor | 14213 Edens Bluff Drive, Lowell, AR 72745 | 2015-10-26 |
| 1881959450 | Robert J. Tomlinson Md, Pa | Orthopaedic Surgery | 212 W. Monroe Ave., Ste A, Lowell, AR 72745 | 2012-07-10 |
| 1376806760 | Gretchen E Brannon | Nurse Practitioner | 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 | 2012-06-20 |
| 1407094220 | Dr. Angela Moore Family Chiropractic, P.l.c. | Chiropractor | 117 S Dixieland St, Ste B, Lowell, AR 72745 | 2009-02-02 |
| 1104078302 | University of Arkansas for Medical Science | Developmental Therapist | 519 Latham Dr., Lowell, AR 72745 | 2008-10-21 |
| 1356593479 | University of Arkansas for Medical Sciences | Registered Nurse | 519 Latham Drive, Lowell, AR 72745 | 2008-10-21 |
| 1912039827 | Looper Chiropractic Pa | Chiropractor | 200 S Bloomington, Ste I, Lowell, AR 72745 | 2007-03-09 |
| Find all providers in zip 72745 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947495 | Sophia Isabel Deno | Counselor | 62 2nd Ave, Lowell, MA 01854-2808 | 2020-09-22 |
| 1396367223 | Joey Rossignol | Counselor | 142 Carlisle St, Lowell, MA 01852-5207 | 2020-05-14 |
| 1811520638 | Douglas Weiskopf | Counselor | 27 Jackson St Apt 334, Lowell, MA 01852-2142 | 2020-02-20 |
| 1891342986 | Olivia Ruby Miller-nuzzo | Counselor | 184 Methuen St, Lowell, MA 01850-2134 | 2019-08-22 |
| 1366909665 | Trinity Care Associate | Counselor | 100 Merrimack St Ste 201, Lowell, MA 01852-1707 | 2019-02-23 |
| 1437621240 | Innerzension Therapy LLC | Counselor | 322 N Bloomington St, Suite D, Lowell, AR 72745-0000 | 2018-12-19 |
| 1407325277 | Carissa Haberlin | Counselor | 336 W Lakeview Dr, Lowell, IN 46356-1261 | 2018-11-21 |
| 1619443439 | Morgan Thomason | Counselor | 1603 Park St, Lowell, AR 72745-8882 | 2018-10-18 |
| 1740769728 | Sokharith Mey, Md, Pllc | Counselor | 1075 Westford St Ste 204, Lowell, MA 01851-2845 | 2018-08-09 |
| 1902305253 | The Megan House Foundation, Inc. | Counselor | 32 Berry Rd, Lowell, MA 01854-1402 | 2018-02-01 |
| Find all providers in LOWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.