Bradham-Cousar, Michelle

Bradham-Cousar, Michelle is an sole proprietor health care provider with primary practice located at 1503 S Us 301 Unit 92 , Tampa FL 33619. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor is her primary health care specialty. Bradham-Cousar, Michelle can be contacted via phone (941) 250-5446.

Contact Information

Primary practice address
1503 S Us 301 Unit 92 Tampa FL 33619
Phone: (941) 250-5446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Florida
Other Service Providers / Community Health Worker 172V00000X Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X 00102595 Florida

Profile Details

NPI number 1417601097
LBN Legal business name Bradham-Cousar, Michelle
Credentials PHD, CRC, LMHC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2022
Last updated Feb 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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