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Organization
THE BRADLEY CENTER LLC
Active
Organization
THE BRADLEY CENTER LLC
Active
Other names
The Bradley Center Counseling and Educational Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AVA MARIE GUNN LCSW (OWNER/THERAPIST)
(601) 270-1567
Entity
Organization
Contact information
Practice address
6737 U S HIGHWAY 98, HATTIESBURG, MS 39402-8444
(601) 270-1567
Mailing address
6737 U S HIGHWAY 98, HATTIESBURG, MS 39402-8444
(601) 270-1567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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