Provider Demographics
NPI:1871454298
Name:COTE, BRAYDEN PATRIC (MS, PLMHP)
Entity type:Individual
Prefix:
First Name:BRAYDEN
Middle Name:PATRIC
Last Name:COTE
Suffix:
Gender:M
Credentials:MS, PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17652 NINA ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2248
Mailing Address - Country:US
Mailing Address - Phone:402-913-8588
Mailing Address - Fax:
Practice Address - Street 1:2612 BRYAN AVE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2865
Practice Address - Country:US
Practice Address - Phone:531-772-1570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14666101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health