TIA BRAXTON, APRN, PMHNP-BC, PLLC

LOUISVILLE, KY
NPI1134821945
Entity TypeOrganization
Authorized ContactTIA PATRICE BRAXTON
Owner
502-999-2855
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2023-03-17
Last Update Date2023-12-04
Business Address
TIA BRAXTON, APRN, PMHNP-BC, PLLC
6540 OUTERLOOP STE 6
LOUISVILLE, KY 40228
Phone number: 502-999-2855
Mailing Address
TIA BRAXTON, APRN, PMHNP-BC, PLLC
8813 ARISTIDES DR
LOUISVILLE, KY 40258-1735
Phone number:
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