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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