LISA BRASWELL
NPI 1467165928
Community Based Residential Treatment Facility, Mental Illness in Wake Forest, NC

Active since December 29, 2022
1033 HAZELMIST DR, WAKE FOREST, NC 27587(984) 292-4515 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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)
1322D00000XResidential 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.

Community Based Residential Treatment Facility, Mental Illness
1033 HAZELMIST DR
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.