ANGELA D BRANHAM
NPI 1174991459
Counselor - Mental Health in Fayetteville, AR
Active since September 03, 2015
About Angela D Branham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA D BRANHAM (NPI 1174991459) is an individual mental health provider in Fayetteville, Arkansas and active in the NPI registry since September 2015.
NPPES Registry Identity
NPI1174991459
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANGELA D BRANHAM
Location Address60 W SUNBRIDGE DRFayetteville, AR 72703-1822
Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020 · Fax (479) 750-4843
Phone(479) 695-1240
Fax(479) 750-4843
Sole ProprietorNo
Enumeration DateSeptember 3, 2015
✔ NPI 1174991459 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
60 W SUNBRIDGE DR, Fayetteville, AR 72703
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174991459, enumerated as an "individual" on September 03, 2015.
The provider is located at 60 W SUNBRIDGE DR FAYETTEVILLE, AR 72703 and the phone number is (479) 695-1240.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.