Provider Demographics
NPI:1558235424
Name:BRADLEY, APRIL TERESA (MA, MED, LCMHCA)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:TERESA
Last Name:BRADLEY
Suffix:
Gender:F
Credentials:MA, MED, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 ASHLAND DR
Mailing Address - Street 2:
Mailing Address - City:GOLDSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27252-9651
Mailing Address - Country:US
Mailing Address - Phone:984-977-8106
Mailing Address - Fax:
Practice Address - Street 1:331 ASHLAND DR
Practice Address - Street 2:
Practice Address - City:GOLDSTON
Practice Address - State:NC
Practice Address - Zip Code:27252-9651
Practice Address - Country:US
Practice Address - Phone:984-977-8106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA22076101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health