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The Bradley Center Llc
Adolescent and Children Mental Health Clinic/Center in Hattiesburg, Mississippi
NPI 1699485508

The Bradley Center Llc is an Adolescent and Children Mental Health Clinic/Center based in Hattiesburg, MS and is specialized in Adolescent and Children Mental Health. The Bradley Center Llc practices in Hattiesburg, MS. The NPI Number for The Bradley Center Llc is 1699485508 and holds a License No. (Mississippi).

The current practice location address for The Bradley Center Llc is 6737 U S Highway 98, Hattiesburg, MS and can be reached out via phone at 601-270-1567.

Location: 6737 U S Highway 98, Hattiesburg, MS, 39402-8444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699485508
Provider Name
The Bradley Center Llc
Credential
Provider Entity Type
Organization
Address
6737 U S Highway 98, Hattiesburg, MS, 39402-8444
Phone Number
601-270-1567
Fax Number
Provider Enumeration Date
12/01/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6737 U S Highway 98
City
Hattiesburg
State
Mississippi
Zip
39402-8444
Phone Number
601-270-1567
Fax Number
person
Provider Business Mailing Address Details
Address
6737 U S Highway 98
City
Hattiesburg
State
Mississippi
Zip
39402-8444
Phone Number
601-270-1567
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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