National Provider Identifier
Bradley Thomas Mayville
Bradley Thomas Mayville is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Lyons, NY and a listed phone number of (315) 946-5722.
Profile Overview
- NPI
- 1215526066
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- January 15, 2021
- Last Updated
- January 15, 2021
Practice Location
- 1519 Nye RD
- Lyons, NY 14489-9133
Phone: (315) 946-5722
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1215526066
- Entity Type
- Individual
- Last Name
- Mayville
- First Name
- Bradley
- Middle Name
- Thomas
- Mailing Street Address
- 1519 Nye RD
- Mailing City
- Lyons
- Mailing State
- NY
- Mailing ZIP Code
- 14489-9133
- Mailing Country
- US
- Mailing Phone
- (315) 946-5722
- Practice Street Address
- 1519 Nye RD
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-9133
- Practice Country
- US
- Practice Phone
- (315) 946-5722
- Practice Fax
- (315) 946-7048
- Enumeration Date
- January 15, 2021
- Last Updated
- January 15, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)