What is Braxten Logan's NPI number?

The NPI number assigned to this healthcare provider is 1851014229, enumerated as a individual on September 21, 2022.

Where is the provider located?

The provider is located at 250 DEWEY AVE SPARTANBURG, SC 29303 and the phone number is (186) 440-6811.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

BRAXTEN LOGAN MA - NPI 1851014229 - Counselor in Spartanburg, SC

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About Braxten Logan Ma NPPES

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

BRAXTEN LOGAN MA (NPI 1851014229) is an individual counselor in Spartanburg, South Carolina and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1851014229

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameBRAXTEN LOGANCredential: MA

Location Address250 DEWEY AVESpartanburg, SC 29303-3009

Mailing Address250 Dewey AveSpartanburg, SC 29303-3009 · (186) 440-6811

Phone(186) 440-6811

Sole ProprietorNo

Enumeration DateSeptember 21, 2022

NPPES CertifiedSeptember 21, 2022

✔ NPI 1851014229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

250 DEWEY AVE, Spartanburg, SC 29303

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