Bradley, Kyana

Bradley, Kyana is an sole proprietor health care provider with primary practice located at 8101 Sandy Spring Rd Ste 250 , Laurel MD 20707-3527. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bradley, Kyana can be contacted via phone (202) 344-7933.

Contact Information

Primary practice address
8101 Sandy Spring Rd Ste 250 Laurel MD 20707-3527
Phone: (202) 344-7933
Fax: (240) 366-5750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LC8316 Maryland
Behavioral Health & Social Service Providers / Counselor 101Y00000X PRC14889 District of Columbia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PRC14889 District of Columbia
Behavioral Health & Social Service Providers / Professional 101YP2500X LC8316 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X PRC14889 District of Columbia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC8316 Maryland

Profile Details

NPI number 1578052486
LBN Legal business name Bradley, Kyana
Credentials LPC, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2018
Last updated Jun 11th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578052486 NPPES
Maryland MEDICAID 907084200

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