LEANNE BRADDOCK (NPI# 1003233008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 0645 | TN | Behavioral Health & Social Service Providers |
Street Address |
561 E MAIN ST |
City | JACKSON |
State | TN |
Zip Code | 38301-6451 |
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 Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
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. |
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 |
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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.