Lakeitha T Branch, LAC
Counselor, Mental Health in Caldwell, New Jersey
1255944252- Practice location
- 275 Bloomfield Ave Ste 4, Caldwell, NJ 07006-5100
- Phone
- 862-206-7232
- Fax
- 973-860-0717
- Last updated
- August 28, 2020
Lakeitha Tradell Branch is a Counselor, Mental Health based in Caldwell, NJ. Lakeitha Tradell Branch practices in Caldwell, NJ and has the professional credentials of LAC. The NPI Number for Lakeitha Tradell Branch is 1255944252 and holds a License No. 37AC00283900 (NJ). The current practice location address for Lakeitha Tradell Branch is 275 Bloomfield Ave Ste 4, Caldwell, NJ 07006-5100 and can be reached out via phone at 862-206-7232 and via fax at 973-860-0717.
Provider Profile Details
- NPI Number
- 1255944252
- Provider Name
- Lakeitha Tradell Branch
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 275 Bloomfield Ave Ste 4, Caldwell, NJ 07006-5100
- Phone Number
- 862-206-7232
- Fax Number
- 973-860-0717
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 28, 2020
- Last Update Date
- August 28, 2020
- Certification Date
- August 28, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 275 Bloomfield Ave Ste 4
Caldwell, NJ 07006-5100 - City
- Caldwell
- State
- New Jersey
- Zip
- 07006-5100
- Phone Number
- 862-206-7232
- Fax Number
- 973-860-0717
Provider Business Mailing Address Details
- Address
- 732 Avenue E Apt 411
Bayonne, NJ 07002-4392 - City
- Bayonne
- State
- NJ
- Zip
- 07002-4392
- Phone Number
- 347-351-8441
License Information
- License Number
- 37AC00283900
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lakeitha T Branch, LAC?
The NPI number of Lakeitha T Branch, LAC is 1255944252. It was assigned on August 28, 2020 and is currently active in the NPPES registry.
What is the specialty of Lakeitha T Branch, LAC?
Lakeitha T Branch, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00283900.
Where does Lakeitha T Branch, LAC practice?
The practice location is 275 Bloomfield Ave Ste 4, Caldwell, NJ 07006-5100. The office can be reached at 862-206-7232 (phone) or 973-860-0717 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255944252 directly on the NPPES registry website.