Healthcare Provider Details

I. General information

NPI: 1124849567
Provider Name (Legal Business Name): YOU ARE AMAZING HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2024
Last Update Date: 07/02/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5033 SELWOOD RD
RICHMOND VA
23234
US

IV. Provider business mailing address

1601 WILLOW LAWN DR STE 304
RICHMOND VA
23230-3423
US

V. Phone/Fax

Practice location:
  • Phone: 804-878-3518
  • Fax:
Mailing address:
  • Phone: 804-878-3518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: HANNAH BRAXTON
Title or Position: OWNER
Credential: NP
Phone: 804-592-6606