George Robert Braswell, M.A., LPA
Individual provider Active NPI Mental Health Counselor · Henrico, NC
NPI 1376747402 · NPPES record last updated Feb 10, 2010
Key facts
- NPI
- 1376747402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1402 (NC)
- Practice address
- 421 Flat Rock Rd
Henrico, NC 27842-9419 - Phone
- (252) 532-5717
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1402 | NC | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1402 | NC | Yes |
Addresses
Primary practice location
421 Flat Rock Rd
Henrico, NC 27842-9419
Mailing address
421 Flat Rock Rd
Henrico, NC 27842-9419
Phone (252) 532-5717
Other providers in Henrico, NC
All providers in Henrico, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2010. 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.