Individual ProviderCourtney BradshawCounselorBehavioral Health & Social Service ProvidersPractice Address3520 Piedmont Rd NE Ste 350, Atlanta, GA 30305-1582(404) 351-2008(404) 769-1538PECOS EnrollmentBased on the most recent information from CMS, provider Courtney Bradshaw does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1740725944Provider TypeIndividualFull NameBradshaw, CourtneyGenderFemaleSole ProprietorNoEnumeration Date12/23/2016Last Updated12/23/2016Contact InformationPractice LocationPractice Address3520 Piedmont Rd NE Ste 350, Atlanta, GA 30305-1582Phone(404) 351-2008FaxUnlisted FaxMailing LocationMailing Address3345 Chatham Rd NW, Atlanta, GA 30305-1141Phone(404) 769-1538FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseAPC005010Georgia