LAKEITHA TRADELL BRANCH LAC
NPI 1255944252
Counselor - Mental Health in Caldwell, NJ
Active since August 28, 2020
275 BLOOMFIELD AVE STE 4, CALDWELL, NJ 07006(862) 206-7232(973) 860-0717 Get Directions Write a Review
About Lakeitha Tradell Branch Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKEITHA TRADELL BRANCH LAC (NPI 1255944252) is an individual mental health provider in Caldwell, New Jersey, licensed in New Jersey (37AC00283900) and active in the NPI registry since August 2020.
NPPES Registry Identity
NPI1255944252
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAKEITHA TRADELL BRANCHCredential: LAC
Location Address275 BLOOMFIELD AVE STE 4Caldwell, NJ 07006-5100
Mailing Address732 Avenue E Apt 411Bayonne, NJ 07002-4392 · (347) 351-8441
Phone(862) 206-7232
Fax(973) 860-0717
Sole ProprietorYes
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 28, 2020
✔ NPI 1255944252 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00283900
275 BLOOMFIELD AVE STE 4, Caldwell, NJ 07006
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Social Worker (Clinical)
275 BLOOMFIELD AVE STE 4
CALDWELL, NJ 07006
CALDWELL, NJ 07006
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255944252, enumerated as an "individual" on August 28, 2020.
The provider is located at 275 BLOOMFIELD AVE STE 4 CALDWELL, NJ 07006 and the phone number is (862) 206-7232.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
