Individual provider · Type 1 NPI

Bradford Lavoid Southern, LPC

Mental Health Counselor · Gadsden, AL

NPI number 1104446343 Active

Practice location

1521 Rainbow Dr
Gadsden, AL 35901-5395

Mailing address

272 Spring Rd
Ohatchee, AL 36271-9345

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X4619 (AL)
Mental Health Counselor 101YM0800XC3519A (AL)
Mental Health Counselor 101YM0800X4619 (AL)
Mental Health Counselor Primary 101YM0800XNone listed
Counselor 101Y00000X4619 (AL)

Mental Health Counselor: Definition to come...

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About NPI 1104446343

Bradford Lavoid Southern, LPC's National Provider Identifier is 1104446343, issued on Apr 17, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gadsden, AL. The record was last updated on May 1, 2026.