Provider Demographics
NPI:1720098528
Name:BRADLEY, FRANI (LPC)
Entity Type:Individual
Prefix:DR
First Name:FRANI
Middle Name:
Last Name:BRADLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9708 S PADRE ISLAND DR
Mailing Address - Street 2:SUITE A-204
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-5100
Mailing Address - Country:US
Mailing Address - Phone:361-939-9577
Mailing Address - Fax:361-939-9047
Practice Address - Street 1:9708 S PADRE ISLAND DR
Practice Address - Street 2:SUITE A-204
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-5100
Practice Address - Country:US
Practice Address - Phone:361-939-9577
Practice Address - Fax:361-939-9047
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12837101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3161LCOtherBCBS