Octavia Bradley, BA
Counselor, Professional in Maplewood, New Jersey
1417614447- Practice location
- 2115 Millburn Ave Ste 104, Maplewood, NJ 07040-3714
- Phone
- 973-850-9554
- Fax
- —
- Last updated
- March 20, 2024
Octavia Bradley is a Counselor, Professional based in Maplewood, NJ. Octavia Bradley practices in Maplewood, NJ and has the professional credentials of BA. The NPI Number for Octavia Bradley is 1417614447. The current practice location address for Octavia Bradley is 2115 Millburn Ave Ste 104, Maplewood, NJ 07040-3714 and can be reached out via phone at 973-850-9554.
Provider Profile Details
- NPI Number
- 1417614447
- Provider Name
- Octavia Bradley
- Credential
- BA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2115 Millburn Ave Ste 104, Maplewood, NJ 07040-3714
- Phone Number
- 973-850-9554
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 24, 2021
- Last Update Date
- March 20, 2024
- Certification Date
- March 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2115 Millburn Ave Ste 104
Maplewood, NJ 07040-3714 - City
- Maplewood
- State
- New Jersey
- Zip
- 07040-3714
- Phone Number
- 973-850-9554
Provider Business Mailing Address Details
- Address
- 2115 Millburn Ave Ste 104
Maplewood, NJ 07040-3714 - City
- Maplewood
- State
- NJ
- Zip
- 07040-3714
- Phone Number
- 973-850-9554
License Information
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Octavia Bradley, BA?
The NPI number of Octavia Bradley, BA is 1417614447. It was assigned on November 24, 2021 and is currently active in the NPPES registry.
What is the specialty of Octavia Bradley, BA?
Octavia Bradley, BA is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).
Where does Octavia Bradley, BA practice?
The practice location is 2115 Millburn Ave Ste 104, Maplewood, NJ 07040-3714. The office can be reached at 973-850-9554 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417614447 directly on the NPPES registry website.