Healthcare Provider Details

I. General information

NPI: 1467975086
Provider Name (Legal Business Name): JENNIFER BRAMAN MSW PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W WOOD ST
NEWAYGO MI
49337-8991
US

IV. Provider business mailing address

130 W WOOD ST
NEWAYGO MI
49337-8991
US

V. Phone/Fax

Practice location:
  • Phone: 231-206-6159
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER L BRAMAN
Title or Position: OWNER
Credential:
Phone: 231-245-6693