Valicia Louvenia Bradford, RSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10809 Issued in LA

Practice address

107 Cleveland Rd
Boyce, LA 71409-9284

Phone

(318) 793-5674

NPI assigned

Dec 26, 2018

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2018.

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1124590401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CLEVELAND RD",
            "city": "BOYCE",
            "state": "LA",
            "postal_code": "714099284",
            "telephone_number": "318-793-5974",
            "fax_number": "318-793-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CLEVELAND RD",
            "city": "BOYCE",
            "state": "LA",
            "postal_code": "714099284",
            "telephone_number": "318-793-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "VALICIA",
        "middle_name": "LOUVENIA",
        "name_prefix": "Mrs.",
        "credential": "RSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "10809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Basco
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• Boyce Pharmacy
• David Wayne Brewer
• Christus Health Central Louisiana
• Ashley Verzwyvelt Dailey, MS CCC-SLP
• Margaret Deshotel, MS, RD, LDN
• Richard Thibaut Djapni, PHARMD

• All providers in Boyce, LA
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.