MEDICARE: DR. MARK LOUIS BRANA LCPC, LCADC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	00408-LC	NV
2	101YM0800X	Mental Health Counselor	CP0197	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902129422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK LOUIS BRANA LCPC, LCADC

Provider Business Mailing Address
First Line	:	2520 SAINT ROSE PKWY STE 209
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-7787
Country	:	US
Telephone Number	:	702-475-1649
Fax Number	:	702-558-9928

Provider Business Practice Location Address
First Line	:	2520 SAINT ROSE PKWY
Second Line	:	SUITE 202D
City	:	HENDERSON
State	:	NV
Zip	:	89074-7783
Country	:	US
Telephone Number	:	702-475-1649
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2010
Last Update Date	:	06/06/2024

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