GAVIN DOUGLAS BRANSON NPI 1851981989

NPI Information

NPI: 1851981989
Provider Name: GAVIN DOUGLAS BRANSON
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
8404 BASELINE RD
LITTLE ROCK, AR
ZIP 72209
Phone: (501) 663-0708
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Gavin Douglas Branson is an addiction (substance use disorder) counselor in Little Rock, AR. Gavin Douglas Branson NPI is 1851981989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8404 BASELINE RD
LITTLE ROCK, AR
ZIP 72209-339
Phone: (501) 663-0708
Fax: (501) 313-4062

The enumeration date for this NPI number is 1/22/2021 and was last updated on 1/22/2021.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		ARKANSAS	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: 11/14/2023

NPI Synchronization or Removal

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