| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NATHANIEL TUCKER BRADDY | 1306420583 | 2024-01-07 |
Nathaniel Tucker Braddy is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1306420583. Registration indicates Nathaniel Tucker Braddy is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Nathaniel Tucker Braddy LPC |
| Practice Office Address | 3633 WHEELER RD STE 365 AUGUSTA, GA US |
| Practice Office Telephone | 7064326866 |
| Mailing Address | 3633 WHEELER RD STE 365 AUGUSTA, GA 309096549 US |
| Business Telephone | 7064326866 |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | |
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | LPC014354
GA |