Braxton, Taihra
Braxton, Taihra is an individual health care provider with primary practice located at 65 Harristown Rd Ste 310 , Glen Rock NJ 07452-3356. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Braxton, Taihra can be contacted via phone (732) 982-2888.Contact Information
Primary practice address
65 Harristown Rd Ste 310
Glen Rock NJ 07452-3356
Phone: (732) 982-2888
Fax: (847) 859-5885
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00891200 | New Jersey |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 37AC00433700 | New Jersey |
Profile Details
NPI number | 1013526615 |
---|---|
LBN Legal business name | Braxton, Taihra |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 29th, 2020 |
Last updated | Oct 17th, 2022 - about 3 years ago |
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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