Damita Braswell

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DAMITA BRASWELL

Practice address

414 Lavita Dr
Shreveport, LA 71106-7519

Phone

(318) 834-1859

Fax

(318) 402-4269

NPI assigned

May 19, 2016

Last updated

May 19, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Damita Walker Braswell

Title

Counselor

Phone

(318) 834-1859

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1831546852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 LAVITA DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067519",
            "telephone_number": "318-834-1859",
            "fax_number": "318-402-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 LAVITA DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067519",
            "telephone_number": "318-834-1859",
            "fax_number": "318-402-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMITA BRASWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "BRASWELL",
        "authorized_official_first_name": "DAMITA",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "318-834-1859"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.