Laquisha Bradley
Laquisha Bradley is a Mental Health Counselor in Buffalo, New York. Qualified in 2015, 11 years ago. Practices with Mid-Erie Mental Health Services Inc, a 35-clinician group and accepts Medicare assignment.
- Years since qualifying
- 11
- In the registry since
- 2016
Practice location Address checks out
1500 Broadway StBuffalo, NY 14212-1845
Phone: (716) 249-5166
Fax: (716) 855-4687
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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 |
|---|
Record details
| NPI number | 1538513130 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 20, 2016 |
| Last updated in NPPES | January 19, 2024 |
| Certification date | January 19, 2024 |
| Mailing address | 1526 Walden Ave, Cheektowaga, NY 14225-4965 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Mid-Erie Mental Health Services Inc — 35 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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