| L.c. Braxton Counseling, Pllc | |
|
5700 Six Forks Rd Ste 202 Raleigh NC 27609-8616 | |
| (919) 961-0334 | |
| (919) 882-1553 |
| Full Name | L.c. Braxton Counseling, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5700 Six Forks Rd Ste 202, Raleigh, North Carolina |
| Authorized Official Name and Position | Leslie Camille Braxton (OWNER/LICENSED PROFESSIONAL COUNSEL) |
| Authorized Official Contact | 9199610334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L.c. Braxton Counseling, Pllc 5700 Six Forks Rd Ste 202 Raleigh NC 27609-8616 Ph: (919) 961-0334 | L.c. Braxton Counseling, Pllc 5700 Six Forks Rd Ste 202 Raleigh NC 27609-8616 Ph: (919) 961-0334 |
| NPI Number | 1790327278 |
|---|---|
| Provider Enumeration Date | 10/16/2019 |
| Last Update Date | 10/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790327278 | NPI | - | NPPES |
| 1053606848 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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