Rayelle Bradley, LGPC
Individual provider Active NPI Professional Counselor · Belcamp, MD
NPI 1407698111 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1407698111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LGP12670 (MD)
- Practice address
- 1370 Brass Mill Rd
Belcamp, MD 21017-1211 - Phone
- (410) 297-4100
- NPI assigned
- Jun 12, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| LGP12670 | MD | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP12670 | MD | Yes |
Addresses
Primary practice location
1370 Brass Mill Rd
Belcamp, MD 21017-1211
Mailing address
1370 Brass Mill Rd
Belcamp, MD 21017-1211
Phone (410) 297-4100
Other providers in Belcamp, MD
- Miranda Benson
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- Bernhard Birnbaum
- Warren Boin
- Shamyra Boone
- Vera Elizabeth Brown
- Destiny Buie
- Ryan Burkey
- Mone Burrell
- Burris Behavioral Health LLC
All providers in Belcamp, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. 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.