Organization
AUTHENTIC CONNECTIONS THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYANA BRADLEY LPC, LCPC (PRESIDENT)
(202) 344-7933
Entity
Organization
Contact information
Practice address
8101 SANDY SPRING RD STE 250, LAUREL, MD 20707-3527
(202) 344-7933
(240) 366-5750
Mailing address
9783 MOUNTAIN LAUREL WAY APT 2C, LAUREL, MD 20723-6334
(202) 344-7933
(240) 366-5750
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907084200
—
MD
Enumeration date
10/15/2018
Last updated
06/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us