Individual provider · Type 1 NPI

Javontae Bradley

Mental Health Counselor · Charlotte, NC

NPI number 1689494841 Active

Practice location

4108 Park Rd Ste 410
Charlotte, NC 28209-2262

Call (980) 949-8990 Map

Mailing address

9404 Perimeter Station Dr Apt 303
Charlotte, NC 28216-4474

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA20178 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1689494841

Javontae Bradley's National Provider Identifier is 1689494841, issued on Oct 14, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Sep 11, 2025.