Alicia G Bradshaw, MS, MFTI
Individual provider Active NPI Marriage & Family Therapist · Chattanooga, TN
NPI 1053944397 · NPPES record last updated Feb 14, 2020
Key facts
- NPI
- 1053944397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1511 (TN)
- Practice address
- 7111 Lee Hwy
Chattanooga, TN 37421-6706 - Phone
- (423) 402-8256
- NPI assigned
- Feb 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1511 | TN | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1511 | TN | Yes |
Addresses
Primary practice location
7111 Lee Hwy
Chattanooga, TN 37421-6706
Mailing address
204 Brookwood Dr
Chattanooga, TN 37411-1803
Phone (423) 402-8256
Other practice location 1
930 Ashland Ter
Chattanooga, TN 37415-3554
Phone (423) 402-8256
Other names
- Ms. Alicia N Garcia
Other providers in Chattanooga, TN
- Kerri Nicole Bradley
- Lynn Bradley
- Melissa Bradley
- Samantha Caitlin Bradley
- Sherry Janel Bradley
- Angela Bradshaw
- Madison M Bradshaw
- Stephen Paul Bradshaw
- Zachary Adam Bradshaw
- Terra D Brady
All providers in Chattanooga, TN · Marriage & Family Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.