Mrs. Premadonna Braddick, MA, LPC
Mrs. Premadonna Braddick, MA, LPC is a Mental Health Counselor in Tulsa, Oklahoma. Qualified in 2005, 21 years ago. Practices with Improving Lives Counseling Services Inc, a 33-clinician group and accepts Medicare assignment.
- Years since qualifying
- 21
- In the registry since
- 2007
What do these letters mean?
Practice location Address checks out
5424 N Madison AveTulsa, OK 74126
Phone: (918) 892-1797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1518168939 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MA , LPC |
| Sole proprietor | No |
| NPI enumerated | May 31, 2007 |
| Last updated in NPPES | July 18, 2023 |
| Certification date | July 7, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Improving Lives Counseling Services Inc — 33 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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