BRAZEAL LLC - NPI 1184309668 - Clinic/Center in Burlington, WI

Q: What is Brazeal LLC's NPI number?

The NPI number for Brazeal LLC is 1184309668. It was assigned to this organization in the NPPES registry on June 21, 2023.

Q: What is Brazeal LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for Brazeal LLC was last updated on June 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brazeal Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAZEAL LLC (NPI 1184309668) is a healthcare organization registered as a mental health (including community mental health center) in Burlington, Wisconsin and active in the NPI registry since June 2023. The organization lists Michael Brazeal, Student Intern, as its authorized official.

NPPES Registry Identity

NPI1184309668

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameBRAZEAL LLC

Location Address197 W CHESTNUT STBurlington, WI 53105-1200

Mailing Address4255 Wilderness DrMt Pleasant, WI 53403-4400 · (520) 236-3343

Phone(520) 236-3343

Organization SubpartNo

Authorized OfficialMichael BrazealStudent Intern · (520) 236-3343

Enumeration DateJune 21, 2023

NPPES CertifiedJune 21, 2023

✔ NPI 1184309668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

197 W CHESTNUT ST, Burlington, WI 53105

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA FRANCES PRELOG MSW

Social Worker (Clinical)