BRANCH & VINE LLC NPI 1326798943

NPI Information

NPI: 1326798943
Provider Name: BRANCH & VINE LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2040 W MAIN ST
STE 311
RAPID CITY, SD
ZIP 57702
Phone: (605) 600-3733
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BRANCH & VINE LLC is a mental health counselor in Rapid City, SD. BRANCH & VINE LLC NPI is 1326798943. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2040 W MAIN ST
STE 311
RAPID CITY, SD
ZIP 57702
Phone: (605) 600-3733

The provider's authorized official is Edmund Jason Stamper .
The authorized official title is Founder Member and has the following contact phone number (605) 600-3733.

The enumeration date for this NPI number is 3/26/2022 and was last updated on 3/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YP2500X	Counselor	Professional	No
3	101YM0800X	Counselor	Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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