Branham, Tonya R

Branham, Tonya R is an individual health care provider with primary practice located at 110 E Main St Ste 103-109 , Georgetown KY 40324-1780. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Branham, Tonya R can be contacted via phone (859) 533-6366.

Contact Information

Primary practice address
110 E Main St Ste 103-109 Georgetown KY 40324-1780
Phone: (859) 533-6366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 261970 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 22602 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 9879 Louisiana
Behavioral Health & Social Service Providers / Professional 101YP2500X 261970 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 280850 Kentucky

Profile Details

NPI number 1295356657
LBN Legal business name Branham, Tonya R
Credentials LPCC, LMHC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2020
Last updated Dec 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295356657 NPPES
Kentucky MEDICAID 7100736670

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