LEANNE BRADDOCK


Address: 561 E Main St, Jackson, TN 38301-6451
Phone: 9012190319

LEANNE BRADDOCK (NPI# 1003233008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003233008
Entity Type Individual
Full Name LEANNE BRADDOCK
Credential LMFT
Practice Address 561 E Main St
Jackson
TN 38301-6451
Practice Telephone 9012190319
Practice Fax Number 9013779977
Mailing Telephone 9012190319
Mailing Fax Number 9013779977
Enumeration Date 2014-03-27
Last Update Date 2016-06-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 0645 TN Behavioral Health & Social Service Providers

Office Location

Street Address 561 E MAIN ST
City JACKSON
State TN
Zip Code 38301-6451

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124634696 Lindsey Crowder Social Worker 127 Mccowat Street, Jackson, TN 38301 2020-09-21
1366928087 Primary Care - South Limited Clinic/Center 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 2018-07-16
1629592522 Tlc Home Care Services, LLC In Home Supportive Care 39 Old Denmark Rd, Jackson, TN 38301 2017-08-01
1841730421 Southern Hands Quality Care In Home Supportive Care 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 2017-03-02
1881044477 Katie Mcmickin Counselor 163 Sunnyside Dr, Jackson, TN 38301 2016-06-15
1164815064 Hailey Archer Dietitian, Registered 720 W. Forest Ave., Jackson, TN 38301 2015-03-17
1740673714 Regina Tignor Nurse Practitioner 1410 Us Highway 70 Byp, Jackson, TN 38301 2015-03-13
1194114033 Woman's Clinic Obstetrics & Gynecology 242 Coatsland, Jackson, TN 38301 2015-01-15
1659797702 Worthy Walker Arrington Nurse Practitioner 720 West Forest Avenue, Jackson, TN 38301 2014-03-13
1669717302 Lift Wellness Inc General Practice 101 Jackson Walk Plaza, Jackson, TN 38301 2012-12-06
Find all providers in zip 38301

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700341914 Heidi Christine Somers Marriage & Family Therapist 330 N Glenwood St, Jackson, WY 83001-8765 2019-02-01
1043734080 Naomi Fortune Muffuletto Marriage & Family Therapist 1151 North State Street, Suite 212, Jackson, MS 39202-2467 2017-08-01
1104299791 Ashlie Edwards Counseling Marriage & Family Therapist 91 Stonebridge Blvd Ste 104, Jackson, TN 38305-2042 2015-11-04
1295114361 Gladys Felicia Dinkins Marriage & Family Therapist 5360 Bld. C, Jackson, MS 39206-4101 2015-05-22
1871909689 Revelation of Hope Counseling Services, LLC Marriage & Family Therapist 386 Carriage House Dr Ste B, Jackson, TN 38305-2236 2014-07-02
1326388307 Susan Woodard Marriage & Family Therapist 1801 Crane Ridge Dr Ste A, Jackson, MS 39216-4902 2013-02-27
1629362124 Bradley Bonnett Marriage & Family Therapist 401 West St Ste 115, Jackson, MN 56143-1219 2011-06-02
1235438235 Kathleen Marie Pignataro Marriage & Family Therapist 235 New York Ranch Rd Ste C, Jackson, CA 95642-2173 2011-03-17
1629306303 Lauraq Elise Santomauro Marriage & Family Therapist 460 South Jackson Ave., Jackson, WY 83001 2009-11-18
1164757985 Sharon T. Walls Marriage & Family Therapist 480 S. Cache Street, Jackson, WY 83001 2009-10-13
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 38301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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