Healthcare Provider Details

I. General information

NPI: 1174447338
Provider Name (Legal Business Name): AMAYA ARTICE WILLIAMS-BRADLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 N SYCAMORE ST
ROSE HILL NC
28458-8487
US

IV. Provider business mailing address

2210 SMALLWOOD ST SW
WILSON NC
27893-4532
US

V. Phone/Fax

Practice location:
  • Phone: 910-284-1486
  • Fax:
Mailing address:
  • Phone: 910-282-0694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: