Tahji Bradley
Individual provider Active NPI Mental Health Counselor · Saint Louis, MO
NPI 1962897207 · NPPES record last updated Apr 3, 2015
Key facts
- NPI
- 1962897207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 4218 N Grand Blvd
Saint Louis, MO 63107-1806 - Phone
- (314) 534-6624
- Fax
- (314) 535-4394
- NPI assigned
- Apr 3, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosati Group Home | Past |
Accepting new patients | |
| St. Patrick Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
4218 N Grand Blvd
Saint Louis, MO 63107-1806
Mailing address
4218 N Grand Blvd
Saint Louis, MO 63107-1806
Phone (314) 534-6624
Other providers in Saint Louis, MO
- Lisa Charisee Bradley
- Margaret Mary Bradley
- Matthew Walter Bradley
- Rachel Autumn Bradley
- Sean Michael Bradley
- Melissa Bradlo
- Camilla Bradsfield
- Rachael J Bradshaw
- Robert William Bradshaw Jr.
- Robyn Bradshaw
All providers in Saint Louis, MO · Mental Health Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2015. 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.