Johnny Bradley

NPI 1124620554 · on the registry since 2020 · sole proprietor

Practice

Address: 1510 Willow Lawn Dr Ste 100d
Richmond, VA 23230
Phone: (804) 512-0061
Fax: (833) 881-9200
Organisation at this address: Can We Talk Llc
My Legacy Counseling Services, Llc
Abraham Youth & Family Services Llc
Abraham Youth & Family Services Llc
Guardian Residential Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Additional practice sites

4220 Rosedown Pl, Richmond, VA

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia