Brad W Erlandson, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008627 Issued in GA

Legal business name

BRAD W ERLANDSON, LLC

Practice address

104 Pilgrim Village Dr Ste 300
Cumming, GA 30040-9232

Phone

(678) 653-4273

Fax

(770) 406-8872

NPI assigned

Nov 15, 2017

Last updated

Nov 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brad W Erlandson, LPC

Title

Owner

Phone

(678) 653-4273

Specialties & licenses 1

Addresses

Tax ID family

Brad W Erlandson LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brad W Erlandson LLC

  • Professional Counselor
  • Alpharetta, GA
  • NPI 1366931008
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Wallace Erlandson Sr.

  • Mental Health Counselor
  • Alpharetta, GA
  • NPI 1811262546
  NPD

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1346753175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PILGRIM VILLAGE DR STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409232",
            "telephone_number": "678-653-4273",
            "fax_number": "770-406-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PILGRIM VILLAGE DR STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409232",
            "telephone_number": "678-653-4273",
            "fax_number": "770-406-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD W ERLANDSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "ERLANDSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-653-4273",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Marie Bowers
• Douglas D Boyd, OD
• Dwight D Boyd, O.D.
• Carly Jo Eggers Boykin, DPT
• Millie Brabham
• Joanne S Bradley
• Nicole Christine Brady
• Jennifer Sherwood Bragg, D.M.D.
• Corbin Cash Bramlet
• Julia Caroline Branch, NURSE PRACTITIONER

• Professional Counselor in Cumming, GA
• Providers in Cumming, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.