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WILLIE BRAXTON
NPI 1780464677
Case Manager/Care Coordinator in Russellville, AR

Active since September 29, 2023
1310 W MAIN ST STE 100, RUSSELLVILLE, AR 72801(479) 964-2011 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willie Braxton NPPES

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

WILLIE BRAXTON (NPI 1780464677) is an individual case manager/care coordinator provider in Russellville, Arkansas and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1780464677
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameWILLIE BRAXTON
Location Address1310 W MAIN ST STE 100Russellville, AR 72801-2803
Mailing Address1310 W Main St Ste 201Russellville, AR 72801-2803 · (479) 964-2011
Phone(479) 964-2011
Sole ProprietorYes
Enumeration DateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1780464677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1310 W MAIN ST STE 100, Russellville, AR 72801
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Other Providers at the Same Location NPPES 20

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

MRS. MARILYN JEAN MCKOWN MHPP
Counselor (Professional)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
AMANDA DAVIS LPC
Counselor (Mental Health)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 968-2001
KELCEE SITZES QBHP-D
Case Manager/Care Coordinator
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 968-2001
LESLIE SOUTHALL
Counselor (Professional)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
JESSICA L BRADWELL MS
Counselor (Mental Health)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
ALEC FONTENOT LAC
Counselor (Mental Health)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 968-2001
BROOKE GRICE LAC
Counselor
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
ASHTON GUTHRIE LAC
Counselor
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011

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 Willie Braxton's NPI number?

The NPI number for Willie Braxton is 1780464677. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Where is Willie Braxton located?

Willie Braxton practices at 1310 W Main St Ste 100, Russellville, AR 72801. The listed phone number is (479) 964-2011.

What is Willie Braxton's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Willie Braxton was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.