Bta Behavioral Health, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BTA BEHAVIORAL HEALTH, INC.

Practice address

9167 W Florissant Ave
Saint Louis, MO 63136-1420

Phone

(314) 574-4081

Fax

(314) 524-3804

NPI assigned

Jul 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Leonard E. Bradley, MSE, CCDP-D, ICCDP-DNPI 1285640581

Title

Program Director

Phone

(314) 574-4081

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonard Eugene Bradley, MSE, CCDP-D, ICCDP-D

  • Addiction (Substance Use Disorder) Counselor
  • Saint Louis, MO
  • NPI 1285640581

  Community/Behavioral Health

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1336452580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630440703",
            "telephone_number": "314-574-4081",
            "fax_number": "314-524-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9167 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361420",
            "telephone_number": "314-574-4081",
            "fax_number": "314-524-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTA BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "314-574-4081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSE, CCDP-D, ICCDP-D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.