Organization Name: | BRANCHES OF LIFE, INC. |
NPI Number: | 1609959212 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY MOTLEY (DIRECTOR) |
Mailing Address: | 1203 Poplar Ave Ste 5 Memphis |
State: | TN US |
Postal Code: | 381047278 |
Phone Number: | 9017285554 |
Fax Number: | 9017286011 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 06/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | AC23491 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |