Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bradley Wayne Lord, PSYDMSLMHCCAP

Individual provider Mental Health Counselor · NPI 1770687717

Dr. Bradley Wayne Lord, PSYDMSLMHCCAP is a Mental Health Counselor in Pensacola, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1221 W Lakeview Ave
Pensacola, FL 32501-1836
Phone: (850) 469-3500
Fax: (850) 595-1400
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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 MH8489 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CAP 2585 (FL)

Record details

NPI number1770687717
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYDMSLMHCCAP
Sole proprietorYes
NPI enumeratedSeptember 11, 2006
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022

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