| Doctor Name: | MR. PAIGE BRADLEY EPPLEY |
| NPI Number: | 1679634430 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA LMHC |
| License Number: | MH5614 |
| Business Practice Address: | 401 North Point Road #902 Osprey, FL - 34229 |
| Business Phone Number: | 9419667222 |
| Business Fax Number: | |
| Mailing Address: | 401 North Point Road, #902 OSPREY |
| State: | FL |
| Postal Code: | 34229 |
| Phone Number: | 9419667222 |
| Fax Number: | 9419663089 |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH5614 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |