Individual provider · Type 1 NPI
Lisa-Marie Josephine Braxton, LMHC
Mental Health Counselor · New York, NY
NPI number
1396125019
Active
Practice location
254 W 31st St Fl 2
New York, NY 10001
Fax (212) 465-0610
Mailing address
12034 Queens Blvd Ste 205
Kew Gardens, NY 11415-1230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1396125019
Lisa-Marie Josephine Braxton, LMHC's National Provider Identifier is 1396125019, issued on Jun 8, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Apr 15, 2021.