Bradley, Tangie

Bradley, Tangie is an sole proprietor health care provider with primary practice located at 12469 Richfield Blvd , Jacksonville FL 32218-9019. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Bradley, Tangie can be contacted via phone (904) 729-8828.

Contact Information

Primary practice address
12469 Richfield Blvd Jacksonville FL 32218-9019
Fax: (866) 465-0270
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1205589595
LBN Legal business name Bradley, Tangie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2022
Last updated Jan 27th, 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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