Provider Demographics
NPI:1497951123
Name:JOY BRAUNLICH LCSW, SAP
Entity Type:Organization
Organization Name:JOY BRAUNLICH LCSW, SAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW, SAP
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAUNLICH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, SAP
Authorized Official - Phone:704-365-6260
Mailing Address - Street 1:6817 FAIRVIEW RD STE B
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3598
Mailing Address - Country:US
Mailing Address - Phone:704-365-6260
Mailing Address - Fax:704-365-6266
Practice Address - Street 1:6817 FAIRVIEW RD STE B
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3598
Practice Address - Country:US
Practice Address - Phone:704-365-6260
Practice Address - Fax:704-365-6266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty