| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRAEDYN WEST | 1568137602 | 2024-01-07 |
Braedyn West is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1568137602. Registration indicates Braedyn West 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)
| Entity Type | Individual |
| Provider Name | Braedyn West CT |
| Practice Office Address | 4653 E MAIN ST WHITEHALL, OH US |
| Practice Office Telephone | 6148752371 |
| Mailing Address | 4653 E MAIN ST WHITEHALL, OH 432133298 US |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X PRIMARY | 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 | C.2405421-TRNE
OH |