Dr Lashawn Faison-bradley, LPC, PSYD is a
Counselor - Professional based in Hiram, Georgia. Dr Lashawn Faison-bradley is licensed to practice in Georgia (license number LPC003392) and her current practice location is
44 Darbys Crossing Dr Ste 202, Hiram, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 907-6635.
NPI number for Dr Lashawn Faison-bradley is 1003055104 and her current mailing address is 8332 Office Park Dr, Suite H, Douglasville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003055104.
Healthcare Provider's Profile
| Full Name | Dr Lashawn Faison-bradley |
|---|
| Gender | Female |
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| Speciality | Counselor - Professional |
|---|
| Location | 44 Darbys Crossing Dr Ste 202, Hiram, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003055104
- Provider Enumeration Date: 02/12/2009
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Dr Lashawn Faison-bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003055104 | NPI | - | NPPES |
| 003187089A | Medicaid | GA | |
| 003159462A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | NONE (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | LPC003392 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lashawn Faison-bradley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lashawn Faison-bradley, LPC, PSYD
8332 Office Park Dr, Suite H,
Douglasville, GA 30134-6937
Ph: (404) 907-6635 | Dr Lashawn Faison-bradley, LPC, PSYD
44 Darbys Crossing Dr Ste 202,
Hiram, GA 30141-6008
Ph: (404) 907-6635 |
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