LISA BRASWELL
NPI 1467165928
Community Based Residential Treatment Facility, Mental Illness in Wake Forest, NC
- Individual
- Female
- Community Based Residential Treatment Fa...
About LISA BRASWELL
This page provides the complete NPI Profile along with additional information for Lisa Braswell, a provider established in Wake Forest, North Carolina with a medical specialization in Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1467165928 assigned on December 2022. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1467165928 Verify this NPI
- Provider Name
- LISA BRASWELL
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1033 HAZELMIST DR WAKE FOREST, NC 27587
- Location Phone
- (984) 292-4515
- Mailing Address
- 6330 FALLS OF NEUSE RD STE 106B RALEIGH, NC 27615
- Mailing Phone
- (984) 292-4515
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-29-2022
- Last Update Date
- 12-30-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
WAKE FOREST, NC 27587
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467165928, enumerated as an "individual" on December 29, 2022.
The provider is located at 1033 HAZELMIST DR WAKE FOREST, NC 27587 and the phone number is (984) 292-4515.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.