LISA MARIE JOSEPHINE BRAXTON


Address: 254 W 31st St Fl 2, New York, NY 10001
Phone: 2122748558

LISA MARIE JOSEPHINE BRAXTON (NPI# 1396125019) 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) 1396125019
Entity Type Individual
Full Name LISA MARIE JOSEPHINE BRAXTON
Credential LMHC
Practice Address 254 W 31st St Fl 2
New York
NY 10001
Mailing Address 254 W 31st St Fl 2
New York
NY 10001-2813
Practice Telephone 2122748558
Practice Fax Number 2124650610
Mailing Telephone 1227485582
Mailing Fax Number 2124650610
Enumeration Date 2015-06-08
Last Update Date 2018-12-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 254 W 31ST ST FL 2
City NEW YORK
State NY
Zip Code 10001

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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Competitor

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City NEW YORK
Zip Code 10001

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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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