Individual provider · Type 1 NPI

Theresa Braddy

Professional Counselor · Lewisville, TX

NPI number 1780131417 Active

Practice location

160 E Vista Ridge Mall Dr, 1415
Lewisville, TX 75067-3716

Call (214) 531-0747 Map

Fax (210) 519-0316

Mailing address

1278 FM 407, Suite 109 Office #22
Lewisville, TX 75077-2200

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X68047 (TX)

Professional Counselor: Definition to come...

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About NPI 1780131417

Theresa Braddy's National Provider Identifier is 1780131417, issued on Sep 11, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lewisville, TX. The record was last updated on Sep 11, 2016.