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

Tinzley Juanita Bradford, WELLNESSCOACH

Individual provider Professional Counselor · NPI 1013670744

Tinzley Juanita Bradford, WELLNESSCOACH is a Professional Counselor in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

1040 W Marietta St NW
Atlanta, GA 30318-5218
Phone: (770) 572-4239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 052362191 (GA)

Record details

NPI number1013670744
Entity typeIndividual (Type 1)
GenderFemale
Credentials WELLNESSCOACH
Sole proprietorYes
NPI enumeratedOctober 19, 2021
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

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