Provider Demographics
NPI:1407388069
Name:BRANA MENTAL HEALTH LLC
Entity type:Organization
Organization Name:BRANA MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LCADC
Authorized Official - Phone:702-475-1649
Mailing Address - Street 1:2520 SAINT ROSE PKWY
Mailing Address - Street 2:SUITE 202D
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7783
Mailing Address - Country:US
Mailing Address - Phone:702-475-1649
Mailing Address - Fax:
Practice Address - Street 1:2520 SAINT ROSE PKWY STE 209
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7787
Practice Address - Country:US
Practice Address - Phone:702-475-1649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-01
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty