Thornton, Bradley Scott

Thornton, Bradley Scott is an individual health care provider with primary practice located at 1330 Neal St Ste D , Cookeville TN 38501-4307. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Thornton, Bradley Scott can be contacted via phone (931) 528-6803.

Contact Information

Primary practice address
1330 Neal St Ste D Cookeville TN 38501-4307
Phone: (931) 528-6803
Fax: (931) 528-6826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4690 Tennessee
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4690 Tennessee

Profile Details

NPI number 1932746856
LBN Legal business name Thornton, Bradley Scott
Credentials LPC-MHSP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2019
Last updated Dec 10th, 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 1932746856 NPPES
Tennessee Other 4690 STATE OF TENNESSEE

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