Micah Braden, QMHS
Individual provider Active NPI Case Manager/Care Coordinator · Vincent, OH
NPI 1154067809 · NPPES record last updated May 6, 2022
Key facts
- NPI
- 1154067809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 10595 Sr 550
Vincent, OH 45784-5650 - Phone
- (740) 445-5113
- Fax
- (740) 445-5124
- NPI assigned
- May 6, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
10595 Sr 550
Vincent, OH 45784-5650
Mailing address
PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366
Other providers in Vincent, OH
- Shala R Anderson
- Frank Baker Jr.
- Sarah Elizabeth Barlow
- Jessica A Bonnell
- James V Borrelli
- Danyelle Brooker
- Jonathon L Brown
- Jared Carney
- Larry Cassady
- Micah Christian
All providers in Vincent, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.