Ana Alycia Bradley, LMFT-INTERN
Individual provider Active NPI Mental Health Counselor · Las Vegas, NV
NPI 1083329940 · NPPES record last updated Jan 16, 2023
Key facts
- NPI
- 1083329940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MI4088 (NV)
- Practice address
- 4455 S Pecos Rd Ste C
Las Vegas, NV 89121-5029 - Phone
- (702) 505-1280
- NPI assigned
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI4088 | NV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anabout That Therapy LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | MI4088 | NV | Yes |
Addresses
Primary practice location
4455 S Pecos Rd Ste C
Las Vegas, NV 89121-5029
Mailing address
9040 Boston Springs Ave
Las Vegas, NV 89149-0409
Phone (361) 244-2136
Other providers in Las Vegas, NV
- Tony Bradford
- Twanda Bradford
- Vincent Eric Bradford
- Bradlely J. Nelson D.D.S. LTD
- Charlotte Anne Bradley-Cunningham
- Carmynn Kayleen Bradley
- Charmaine Bradley
- Gerald L Bradley
- Heaven Shirley Mary Bradley
- Imani Bradley
All providers in Las Vegas, NV · Mental Health Counselor in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2023. 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.