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NPI Code Detail

MEDICARE: CARRIE BRAWLEY

MEDICARE: CARRIE BRAWLEY
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
1101YP2500XProfessional CounselorLPC.0020926CO

General Provider Information

NPI Number : 1083583629
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE BRAWLEY
Provider Business Mailing Address
First Line : 7338 CAT TAIL CREEK DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-5493
Country : US
Telephone Number : 417-766-5909
Fax Number :
Provider Business Practice Location Address
First Line : 7338 CAT TAIL CREEK DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-5493
Country : US
Telephone Number : 417-766-5909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2025
Last Update Date : 11/07/2025

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Directions to “ CARRIE BRAWLEY ” Practice Location

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