Healthcare Provider Details

I. General information

NPI: 1013845239
Provider Name (Legal Business Name): CANDACE J BRADEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4888 DEXTER DR STE 300B
PLANO TX
75093-5566
US

IV. Provider business mailing address

8916 LONGHORN MEWS
ROWLETT TX
75089-1458
US

V. Phone/Fax

Practice location:
  • Phone: 972-885-8193
  • Fax:
Mailing address:
  • Phone: 424-333-4648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: