1710274758 NPI number — MRS. ERIKA BRAUN COPPEN LPC, CPA

Table of content: MRS. ERIKA BRAUN COPPEN LPC, CPA (NPI 1710274758)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710274758 NPI number — MRS. ERIKA BRAUN COPPEN LPC, CPA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COPPEN
Provider First Name:
ERIKA
Provider Middle Name:
BRAUN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC, CPA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BRAUN
Provider Other First Name:
ERIKA
Provider Other Middle Name:
JANE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC, CPA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1710274758
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/22/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5590 POWELL SULLIVAN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37064-9253
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-973-2526
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3983 CAROTHERS PKWY
Provider Second Line Business Practice Location Address:
SUITE E2
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37067-5936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-224-1590
Provider Business Practice Location Address Fax Number:
615-224-1595
Provider Enumeration Date:
06/28/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  2253 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 12184808 . This is a "CAQH" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




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