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BRANCHES OF LIFE INC. NPI 1609959212


NPI Information

NPI: 1609959212
Provider Name: BRANCHES OF LIFE, INC.
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1203 POPLAR AVE STE 5
MEMPHIS, TN
ZIP 38104
Phone: (901) 728-5554
Get Directions

BRANCHES OF LIFE, INC. is a clinical social worker in Memphis, TN. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. BRANCHES OF LIFE, INC. NPI is 1609959212. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1203 POPLAR AVE STE 5
MEMPHIS, TN
ZIP 38104-278
Phone: (901) 728-5554
Fax: (901) 728-6011

The provider's authorized official is Gregory Motley .
The authorized official title is Director and has the following contact phone number (901) 728-5554.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 6/22/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorAC23491TENNESSEENo
2101Y00000XCounselorF16765TENNESSEENo
3101YA0400XCounselorAddiction (Substance Use Disorder)308OKLAHOMANo
4101YA0400XCounselorAddiction (Substance Use Disorder)BC23491TENNESSEENo
5101YM0800XCounselorMental HealthLPC908TENNESSEENo
61041C0700XSocial WorkerClinicalCSWTENNESSEENo
71041C0700XSocial WorkerClinicalF20063TENNESSEENo
81041C0700XSocial WorkerClinicalLSW3185TENNESSEENo
91041C0700XSocial WorkerClinicalLSW1502ARKANSASNo
10106H00000XMarriage & Family TherapistLPC908TENNESSEENo
11170100000XMedical Genetics, Ph.D. Medical GeneticsMD010748TENNESSEENo
121041C0700XSocial WorkerClinicalLSW3165TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1561112000OTHERTENNESSEEMAGELLAN
211549639OTHERTENNESSEECAQH-AETNA
34114450OTHERTENNESSEEBLUE CROSS BLUE SHIELD
460054OTHERTENNESSEEAETNA
511587744OTHERTENNESSEEJ.D. FARLEY INSURANCE
63728928MEDICAIDTENNESSEE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.