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NPI Code Detail

MEDICARE: LEIGH-ANNE JANENE BRADLEY

MEDICARE: LEIGH-ANNE JANENE BRADLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorAPC010368GA

General Provider Information

NPI Number : 1922943950
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIGH-ANNE JANENE BRADLEY
Provider Business Mailing Address
First Line : 107 JIM ARYARD SMITH CIR
Second Line :
City : LYONS
State : GA
Zip : 30436-7751
Country : US
Telephone Number : 912-388-9185
Fax Number :
Provider Business Practice Location Address
First Line : 402 OSIGIAN BLVD STE 400
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-8992
Country : US
Telephone Number : 478-333-3058
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “ LEIGH-ANNE JANENE BRADLEY ” Practice Location

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