Individual provider · Type 1 NPI

Tabatha Bradley, LAC

Professional Counselor · Wynne, AR

NPI number 1184468472 Active

Practice location

204 Mississippi St S
Wynne, AR 72396-3025

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XP2608004 (AR)
Counselor 101Y00000XA2406004 (AR)

Professional Counselor: Definition to come...

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About NPI 1184468472

Tabatha Bradley, LAC's National Provider Identifier is 1184468472, issued on Jun 21, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wynne, AR. The record was last updated on Aug 7, 2026.