BRANCHES THERAPY NETWORK PC NPI 1073011706

NPI Information

  • NPI: 1073011706
  • Provider Name: BRANCHES THERAPY NETWORK, PC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 5400 DURANGO TRL
    PLEASANT PLAINS, IL
    ZIP 62677
  • Phone: (217) 836-4642

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NPI Details

BRANCHES THERAPY NETWORK, PC is a mental health counselor in Pleasant Plains, IL. BRANCHES THERAPY NETWORK, PC NPI is 1073011706. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5400 DURANGO TRL
PLEASANT PLAINS, IL
ZIP 62677-060
Phone: (217) 836-4642

The provider's authorized official is Matthew T. Grey .
The authorized official title is President/ceo and has the following contact phone number (833) 227-2624.

The enumeration date for this NPI number is 1/29/2018 and was last updated on 4/17/2024.

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 License Number License State Primary
1101YM0800XCounselorMental Health060-012183ILLINOISYes

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: 11/21/2025

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