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HEATHER BRADDOCK LPC-MHSP
NPI 1801305081
Counselor - Mental Health in Kingsport, TN

Active since September 20, 2017
441 CLAY ST, KINGSPORT, TN 37660(423) 247-4536 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heather Braddock Lpc-mhsp NPPES

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

HEATHER BRADDOCK LPC-MHSP (NPI 1801305081) is an individual mental health provider in Kingsport, Tennessee, licensed in Tennessee (3949) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1801305081
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHEATHER BRADDOCKCredential: LPC-MHSP
Location Address441 CLAY STKingsport, TN 37660-3693
Mailing AddressPo Box 1323Kingsport, TN 37662-1323 · (423) 247-4536
Phone(423) 247-4536
Sole ProprietorYes
Enumeration DateSeptember 20, 2017
✔ NPI 1801305081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TN · 3949
441 CLAY ST, Kingsport, TN 37660
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MRS. ANNA B HAGAN M.ED., ED.S.
Counselor (Professional)
441 CLAY ST
KINGSPORT, TN 37660
Sullivan County (423) 218-2275
KOURTNEY KAHLER OGGERO FNP
Nurse Practitioner (Primary Care)
441 CLAY ST
KINGSPORT, TN 37660
Sullivan County (423) 247-4536

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 Heather Braddock's NPI number?

The NPI number for Heather Braddock is 1801305081. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Where is Heather Braddock located?

Heather Braddock practices at 441 Clay St, Kingsport, TN 37660. The listed phone number is (423) 247-4536.

What is Heather Braddock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Heather Braddock was last updated on September 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.