Braxton, Taihra

Braxton, Taihra is an individual health care provider with primary practice located at 65 Harristown Rd Ste 310 , Glen Rock NJ 07452-3356. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Braxton, Taihra can be contacted via phone (732) 982-2888.

Contact Information

Primary practice address
65 Harristown Rd Ste 310 Glen Rock NJ 07452-3356
Phone: (732) 982-2888
Fax: (847) 859-5885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00891200 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37AC00433700 New Jersey

Profile Details

NPI number 1013526615
LBN Legal business name Braxton, Taihra
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2020
Last updated Oct 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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