Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johnny Ray Bradley Jr.

Individual provider Mental Health Counselor · NPI 1124620554

Johnny Ray Bradley Jr. is a Mental Health Counselor in Richmond, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2020
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Practice location Address checks out

1510 Willow Lawn Dr Ste 100D
Richmond, VA 23230-3429
Phone: (804) 512-0061
Fax: (833) 881-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4220 Rosedown Pl, Richmond, VA 23223-5860 — (804) 512-0061

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (VA)

Record details

NPI number1124620554
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 10, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing address4220 Rosedown Pl, Richmond, VA 23223-5860

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