| Bradley Thomas Mayville, | |
|
1519 Nye Rd, Lyons, NY 14489-9133 | |
| (315) 946-5722 | |
| (315) 946-7048 |
| Full Name | Bradley Thomas Mayville |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1519 Nye Rd, Lyons, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215526066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 36560 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Thomas Mayville, 1519 Nye Rd, Lyons, NY 14489-9133 Ph: (315) 946-5722 | Bradley Thomas Mayville, 1519 Nye Rd, Lyons, NY 14489-9133 Ph: (315) 946-5722 |
Ms. Wendy N. Webster, BA, CASAC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 | |
Francis Modaffari, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 Fax: 315-946-7079 | |
Samantha Minns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 Fax: 315-946-7079 | |
Ms. Amy Shoff, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 Fax: 315-946-7079 | |
Megan Berardi, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 Fax: 315-946-7079 | |
Mr. Christopher Joseph Thomas, CASAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 Fax: 315-946-7079 | |
Lindsey Mercurio, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 |