Bradford Lavoid Southern, LPC - Counselor in Gadsden, AL

Bradford Lavoid Southern, LPC is a Counselor - Mental Health based in Gadsden, Alabama. Bradford Lavoid Southern is licensed to practice in Alabama (license number ) and his current practice location is 1519 Rainbow Dr, Gadsden, Alabama. He can be reached at his office (for appointments etc.) via phone at (256) 459-8255.

NPI number for Bradford Lavoid Southern is 1104446343 and his current mailing address is 272 Spring Rd, Ohatchee, Alabama. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104446343.

Contact Information

Bradford Lavoid Southern, LPC
1519 Rainbow Dr,
Gadsden, AL 35901-5326
(256) 459-8255
Not Available

Healthcare Provider's Profile

Full NameBradford Lavoid Southern
GenderMale
SpecialityCounselor - Mental Health
Location1519 Rainbow Dr, Gadsden, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104446343
  • Provider Enumeration Date: 04/17/2020
  • Last Update Date: 03/18/2022

Medical Identifiers

Medical identifiers for Bradford Lavoid Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104446343NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 4619 (Alabama)Secondary
101YM0800XCounselor - Mental Health 4619 (Alabama)Secondary
101YM0800XCounselor - Mental Health C3519A (Alabama)Secondary
101YP2500XCounselor - Professional 4619 (Alabama)Secondary
101YM0800XCounselor - Mental Health (Alabama)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradford Lavoid Southern is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bradford Lavoid Southern, LPC
272 Spring Rd,
Ohatchee, AL 36271-9345

Ph: (256) 459-8255
Bradford Lavoid Southern, LPC
1519 Rainbow Dr,
Gadsden, AL 35901-5326

Ph: (256) 459-8255

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Counselor in Gadsden, AL

Mrs. Daphne Ragland, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3001 Scenic Hwy, Gadsden, AL 35904
Phone: 256-546-9265    Fax: 256-547-0185
Jennifer Savage, LCSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3001 Scenic Hwy, Gadsden, AL 35904
Phone: 256-546-9265    Fax: 256-549-0376
Andy Street, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3001 Scenic Hwy, Gadsden, AL 35904
Phone: 256-546-9265    Fax: 256-549-0376
Bawanda Denise Garrison, MSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1117 Gardner St, Gadsden, AL 35901
Phone: 256-549-0807    Fax: 256-549-0887
Angela Sewell, MS, ALC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 124 N 5th St, Gadsden, AL 35901
Phone: 256-458-8819    
Jessica Kuklo, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 307 S 5th St Ste A, Gadsden, AL 35901
Phone: 256-399-4044    
Dr. Jacky Beck, PHD
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1511a Rainbow Dr, Gadsden, AL 35901
Phone: 256-543-8880    Fax: 256-543-8889

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