Provider Demographics
NPI:1689268856
Name:BEMIS, BRADLEY (MS, LPCC, CLC)
Entity Type:Individual
Prefix:MR
First Name:BRADLEY
Middle Name:
Last Name:BEMIS
Suffix:
Gender:M
Credentials:MS, LPCC, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8517 EATON ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-1325
Mailing Address - Country:US
Mailing Address - Phone:425-877-0919
Mailing Address - Fax:
Practice Address - Street 1:8517 EATON ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-1325
Practice Address - Country:US
Practice Address - Phone:425-877-0919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
COLPCC.0020565101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171400000XOther Service ProvidersHealth & Wellness Coach