Dominique Gabrielle Braden
Individual provider Active NPI Marriage & Family Therapist · Nashville, TN
NPI 1851918924 · NPPES record last updated Jul 23, 2021
Key facts
- NPI
- 1851918924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0000001450 (TN)
- Practice address
- 700 Craighead St Ste 105
Nashville, TN 37204-2254 - Phone
- (615) 926-1426
- NPI assigned
- Jul 6, 2020
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000001450 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | 0000001450 | TN | Yes |
Addresses
Primary practice location
700 Craighead St Ste 105
Nashville, TN 37204-2254
Mailing address
700 Craighead St Ste 105700
Nashville, TN 37204-2254
Phone (615) 926-1426
Other providers in Nashville, TN
- Darrin Bradbury
- Emily Bradbury
- Alexis C. Braddock
- Stephanie D Braddock
- Brittany Lynn Braden
- Ebony Braden
- Lauren Braden
- Brian R. Bradford
- Jen N Bradford
- Jessica Kate Bradford
All providers in Nashville, TN · Marriage & Family Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2021. 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.