| Branch Behavioral Health Llc | |
|
5205 W Woodmill Dr Ste 33ll Wilmington DE 19808-4068 | |
| (302) 468-6414 | |
| Not Available |
| Full Name | Branch Behavioral Health Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5205 W Woodmill Dr Ste 33ll, Wilmington, Delaware |
| Authorized Official Name and Position | Carey Manza (OWNER) |
| Authorized Official Contact | 3024686414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Branch Behavioral Health Llc 5205 W Woodmill Dr Ste 33ll Wilmington DE 19808-4068 Ph: (302) 468-6414 | Branch Behavioral Health Llc 5205 W Woodmill Dr Ste 33ll Wilmington DE 19808-4068 Ph: (302) 468-6414 |
| NPI Number | 1932856689 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 05/28/2022 |
| Certification Date | 05/28/2022 |
| Medicare PECOS PAC ID | 9436538030 |
|---|---|
| Medicare Enrollment ID | O20220627003603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932856689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| Provider Name | Carey Manza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235465998 PECOS PAC ID: 8729366729 Enrollment ID: I20161026000957 |
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