| Barbara A Bradshaw, Lcpc, Llc | |
|
111 Warren Rd Ste 10a Cockeysville MD 21030-2452 | |
| (443) 860-1252 | |
| Not Available |
| Full Name | Barbara A Bradshaw, Lcpc, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 111 Warren Rd Ste 10a, Cockeysville, Maryland |
| Authorized Official Name and Position | Barbara Ann Bradshaw (PROVIDER) |
| Authorized Official Contact | 4438601252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara A Bradshaw, Lcpc, Llc 111 Warren Rd Ste 10a Cockeysville MD 21030-2452 Ph: (443) 860-1252 | Barbara A Bradshaw, Lcpc, Llc 111 Warren Rd Ste 10a Cockeysville MD 21030-2452 Ph: (443) 860-1252 |
| NPI Number | 1477324911 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Medicare PECOS PAC ID | 1153773841 |
|---|---|
| Medicare Enrollment ID | O20240118001170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477324911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Barbara Ann Bradshaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558928622 PECOS PAC ID: 0042662736 Enrollment ID: I20240118001278 |
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