MERCEDES BRAXTON
NPI 1215542055
Counselor - Professional in Marietta, GA

Active since September 09, 2020
2130 KINGSTON CT SE STE E, MARIETTA, GA 30067(708) 574-5442 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mercedes Braxton NPPES

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

MERCEDES BRAXTON (NPI 1215542055) is an individual professional provider in Marietta, Georgia, licensed in Georgia (LPC011704) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1215542055
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMERCEDES BRAXTON
Location Address2130 KINGSTON CT SE STE EMarietta, GA 30067-8952
Mailing Address290 Baywood WayHiram, GA 30141-3186 · (708) 574-5442
Sole ProprietorYes
Enumeration DateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
NPI 1215542055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC011704
2130 KINGSTON CT SE STE E, Marietta, GA 30067

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Social Worker
2130 KINGSTON CT SE STE E
MARIETTA, GA 30067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercedes Braxton's NPI number?

The NPI number for Mercedes Braxton is 1215542055. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Where is Mercedes Braxton located?

Mercedes Braxton practices at 2130 Kingston Ct SE Ste E, Marietta, GA 30067. The listed phone number is (708) 574-5442.

What is Mercedes Braxton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mercedes Braxton was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.