| Robert Bradley, LPC | |
|
804 Industrial Park Rd, Maxwelton, WV 24957-8066 | |
| (304) 497-0500 | |
| Not Available |
| Full Name | Robert Bradley |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 804 Industrial Park Rd, Maxwelton, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154878346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2871 (West Virginia) | Primary |
| Entity Name | Seneca Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154532513 PECOS PAC ID: 8022005263 Enrollment ID: O20040428001502 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Bradley, LPC 804 Industrial Park Rd, Maxwelton, WV 24957-8066 Ph: (304) 497-0500 | Robert Bradley, LPC 804 Industrial Park Rd, Maxwelton, WV 24957-8066 Ph: (304) 497-0500 |
Samantha Mann, Counselor Medicare: Medicare Enrolled Practice Location: 804 Industrial Park Rd, Maxwelton, WV 24957 Phone: 888-736-3229 Fax: 304-497-0156 | |
Arielle Estes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Industrial Park Rd, Maxwelton, WV 24957 Phone: 304-497-0500 | |
Christopher Wayne Holland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 Industrial Park Road, Maxwelton, WV 24957 Phone: 304-497-2850 | |
Mackenzie Emma Taylor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Industrial Park Rd, Maxwelton, WV 24957 Phone: 304-497-0500 | |
Susan Byers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Industrial Park Rd, Maxwelton, WV 24957 Phone: 304-497-0500 | |
Michael Anthony Griggs, MA COUNSELING Counselor Medicare: Medicare Enrolled Practice Location: 804 Industrial Park Rd, Maxwelton, WV 24957 Phone: 304-497-0500 |