COURTNEY BRAXTON LSW, LCADC
NPI 1467988378
Counselor - Addiction (Substance Use Disorder) in Allentown, PA
Active since May 11, 2017
About Courtney Braxton Lsw, Lcadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY BRAXTON LSW, LCADC (NPI 1467988378) is an individual addiction (substance use disorder) provider in Allentown, Pennsylvania, licensed in New Jersey (37LC00315500) and active in the NPI registry since May 2017. She maintains a secondary practice location in Newark.
NPPES Registry Identity
NPI1467988378
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCOURTNEY BRAXTONCredential: LSW, LCADC
Location Address5616 WOOD LNAllentown, PA 18106-9547
Mailing Address5616 Wood LnAllentown, PA 18106-9547
Phone(862) 256-9954
Sole ProprietorNo
Enumeration DateMay 11, 2017
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1467988378 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NJ · 37LC00315500
5616 WOOD LN, Allentown, PA 18106
Secondary Practice Location 1
Location 1972 Broad St Fl 6Newark, NJ 07102-2518 · Phone (973) 988-4962
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467988378, enumerated as an "individual" on May 11, 2017.
The provider is located at 5616 WOOD LN ALLENTOWN, PA 18106 and the phone number is (862) 256-9954.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).