Individual provider · Type 1 NPI

Anitra Lynette Bradford, LAC

Mental Health Counselor · Magnolia, AR

NPI number 1124218177 Active

Practice location

621 E North St
Magnolia, AR 71753-3120

Mailing address

1600 Aldersgate Rd Ste 200
Little Rock, AR 72205-6676

Other practice locations

  • 728 W Monroe, Magnolia, AR 71753-3459 · (870) 234-2705

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XA0710078 (AR)
Professional Counselor 101YP2500XP1012084 (AR)
Professional Counselor 101YP2500XTEL1092 (LA)
Professional Counselor 101YP2500X89794 (TX)
Mental Health Counselor Primary 101YM0800X89794 (TX)

Mental Health Counselor: Definition to come...

24 other providers at this address

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About NPI 1124218177

Anitra Lynette Bradford, LAC's National Provider Identifier is 1124218177, issued on Jul 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Magnolia, AR. The record was last updated on Apr 28, 2026.