Organization
CHRIS BRADY THERAPY LLC
Active
Organization
CHRIS BRADY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER L BRADY LMSW (OWNER / PSYCHOTHERAPIST)
(248) 231-3620
Entity
Organization
Contact information
Practice address
725 S ADAMS RD STE L-167, BIRMINGHAM, MI 48009-6987
(248) 231-3620
Mailing address
2904 GRAYSON ST APT A, FERNDALE, MI 48220-1097
(248) 231-3620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801096831
LMSW- LICENSED MASTERS SOCIAL WORKER
MI
Enumeration date
08/06/2019
Last updated
08/06/2019
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