Individual
ANIEK BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
15190 SW 136TH ST STE 25, MIAMI, FL 33196-2618
(786) 285-2396
(305) 254-4339
Mailing address
15190 SW 136TH ST STE 25, MIAMI, FL 33196-2618
(786) 285-2396
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
IMT1458
FL
106H00000X
Marriage & Family Therapist
Primary
MT2749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12640850
CAQH
FL
Enumeration date
10/29/2010
Last updated
09/23/2015
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