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KAMIL LATRICE BRADDOCK
NPI 1487475984
Counselor - Addiction (Substance Use Disorder) in Easley, SC

Active since October 18, 2024
1653 E MAIN ST, EASLEY, SC 29640(864) 306-8533(864) 309-8513 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kamil Latrice Braddock NPPES

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

KAMIL LATRICE BRADDOCK (NPI 1487475984) is an individual addiction (substance use disorder) provider in Easley, South Carolina and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1487475984
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKAMIL LATRICE BRADDOCK
Location Address1653 E MAIN STEasley, SC 29640-3791
Mailing Address1653 E Main StEasley, SC 29640-3791 · (864) 306-8533 · Fax (864) 309-8513
Phone(864) 306-8533
Fax(864) 309-8513
Sole ProprietorNo
Enumeration DateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1487475984 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
1653 E MAIN ST, Easley, SC 29640
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Other Providers at the Same Location NPPES 12

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

STACEY Q GARDNER
Pharmacy Technician
1653 E MAIN ST
EASLEY, SC 29640
Pickens County (864) 306-8533
DESTINI ELISE GREENE
Counselor (Addiction (Substance Use Disorder))
1653 E MAIN ST
EASLEY, SC 29640
Pickens County (864) 306-8533
MRS. DIANNA LEA MCALISTER
Counselor (Addiction (Substance Use Disorder))
1653 E MAIN ST
EASLEY, SC 29640
Pickens County (864) 306-8533
LUKE SAMUEL WIGDAHL
Counselor (Addiction (Substance Use Disorder))
1653 E MAIN ST
EASLEY, SC 29640
Pickens County (888) 711-2896
DR. STEVEN JEFFREY FASS MD
Surgery
1653 E MAIN ST
EASLEY, SC 29640
Pickens County (864) 306-8533
GAJENDRA BAFNA PHARMD
Clinic/Center (Methadone)
1653 E MAIN ST
EASLEY, SC 29640
Pickens County (864) 631-7371
JENNIFER G HENDERSON
Counselor (Addiction (Substance Use Disorder))
1653 E MAIN ST
EASLEY, SC 29640
Pickens County (864) 306-8533
RECOVERY CONCEPTS OF CAROLINA UPST LLC
Clinic/Center (Methadone)
1653 E MAIN ST
EASLEY, SC 29640
Pickens County (864) 306-8533

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 Kamil Braddock's NPI number?

The NPI number for Kamil Braddock is 1487475984. It was assigned to this individual provider in the NPPES registry on October 18, 2024.

Where is Kamil Braddock located?

Kamil Braddock practices at 1653 E Main St, Easley, SC 29640. The listed phone number is (864) 306-8533.

What is Kamil Braddock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kamil Braddock was last updated on October 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.