Healthcare Provider Details

I. General information

NPI: 1740840552
Provider Name (Legal Business Name): HANNAH BRAUN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2019
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 W HUMBOLDT PKWY
BUFFALO NY
14214-2604
US

IV. Provider business mailing address

95 W HUMBOLDT PKWY
BUFFALO NY
14214-2604
US

V. Phone/Fax

Practice location:
  • Phone: 716-710-5151
  • Fax: 716-883-0687
Mailing address:
  • Phone: 716-710-5151
  • Fax: 716-883-0687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number011860
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: