Branches Holistic Health And Wellness | |
1001 Reynolda Rd Stockton Cottage Winston Salem NC 27104-3245 | |
(336) 406-8431 | |
(336) 723-1411 |
Full Name | Branches Holistic Health And Wellness |
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Speciality | Psychologist |
Location | 1001 Reynolda Rd, Winston Salem, North Carolina |
Authorized Official Name and Position | Katherine T Kelly (PSYCHOLOGIST, DIRECTOR) |
Authorized Official Contact | 3364068431 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Branches Holistic Health And Wellness 1001 Reynolda Rd Stockton Cottage Winston Salem NC 27104-3245 Ph: (336) 406-8431 | Branches Holistic Health And Wellness 1001 Reynolda Rd Stockton Cottage Winston Salem NC 27104-3245 Ph: (336) 406-8431 |
NPI Number | 1902916653 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0042391823 |
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Medicare Enrollment ID | O20080117000742 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902916653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2729 (North Carolina) | Primary |
Provider Name | Katherine T Kelly |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1407822372 PECOS PAC ID: 7416922349 Enrollment ID: I20040901001381 |
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