Destiny D Bradley, MED, LPC, NCC
Destiny D Bradley, MED, LPC, NCC is a Mental Health Counselor in Leland, Mississippi. Qualified in 2021, 5 years ago. Practices with Indianola Clinic LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 5
- Licensed in
- MS
- In the registry since
- 2022
What do these letters mean?
Practice location Address checks out
201 Baker BlvdLeland, MS 38756-3401
Phone: (662) 686-4121
Fax: (662) 686-4770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 3065 (MS) |
|---|
Record details
| NPI number | 1437802147 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MED , LPC , NCC |
| Sole proprietor | No |
| NPI enumerated | February 2, 2022 |
| Last updated in NPPES | April 10, 2024 |
| Certification date | April 10, 2024 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Indianola Clinic Llc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Leland
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Mrs. Michelle B Clem, LPC
201 Baker Blvd, Leland, MS 38756 · (662) 686-4121
-
Dr. Shelly Frazier Fowler, PHD, LPC, NCC, NCSC
506 S Deer Creek Dr W, Leland, MS 38756-3132 · (662) 686-0223
-
Mrs. Abbie Sightler Robinson, MED
201 Baker Blvd, Leland, MS 38756-3401 · (662) 686-4121
-
Robdreka Shaw, LPC
201 Baker Blvd, Leland, MS 38756-3401 · (662) 686-4121