National Provider Identifier
Laquisha Bradley
Laquisha Bradley is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 249-5166.
Profile Overview
- NPI
- 1538513130
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- April 20, 2016
- Last Updated
- January 19, 2024
Practice Location
- 1500 Broadway St
- Buffalo, NY 14212-1845
Phone: (716) 249-5166
Mailing Address
- 1526 Walden Ave
- Cheektowaga, NY 14225-4965
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1538513130
- Entity Type
- Individual
- Last Name
- Bradley
- First Name
- Laquisha
- Mailing Street Address
- 1526 Walden Ave
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-4965
- Mailing Country
- US
- Mailing Phone
- (716) 895-6700
- Mailing Fax
- (716) 893-0070
- Practice Street Address
- 1500 Broadway St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1845
- Practice Country
- US
- Practice Phone
- (716) 249-5166
- Practice Fax
- (716) 855-4687
- Enumeration Date
- April 20, 2016
- Last Updated
- January 19, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 19, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)