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NPI Code Detail

MEDICARE: VANESSA BRAITHWAITE

MEDICARE: VANESSA BRAITHWAITE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1003641200
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA BRAITHWAITE
Provider Business Mailing Address
First Line : 4 GILDER ST STE 2
Second Line :
City : LARCHMONT
State : NY
Zip : 10538-2748
Country : US
Telephone Number : 838-910-8150
Fax Number :
Provider Business Practice Location Address
First Line : 4 GILDER ST STE 2
Second Line :
City : LARCHMONT
State : NY
Zip : 10538-2748
Country : US
Telephone Number : 838-910-8150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2024
Last Update Date : 12/22/2025

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Directions to “ VANESSA BRAITHWAITE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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