Individual
MELISSA LOUISE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1310 W MAIN ST STE 100, RUSSELLVILLE, AR 72801-2803
(479) 964-2011
(479) 964-2008
Mailing address
PO BOX 414, GREENBRIER, AR 72058-0414
(501) 679-0232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P2001007
AR
101YP2500X
Professional Counselor
Primary
P2001007
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238094719
—
AR
Enumeration date
08/12/2008
Last updated
12/12/2025
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