Provider Demographics
NPI:1093943532
Name:BRAHME, KWAME (LCDC)
Entity Type:Individual
Prefix:MR
First Name:KWAME
Middle Name:
Last Name:BRAHME
Suffix:
Gender:M
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 AVENUE K
Mailing Address - Street 2:STE. 102
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074
Mailing Address - Country:US
Mailing Address - Phone:972-423-8727
Mailing Address - Fax:972-423-8918
Practice Address - Street 1:2600 AVENUE K
Practice Address - Street 2:STE. 102
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074
Practice Address - Country:US
Practice Address - Phone:972-423-8727
Practice Address - Fax:972-423-8918
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
TX8130101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor