| Branches Of Hope, Llc Mental Health Support | |
|
20 Walnut St Martinsville VA 24112-2724 | |
| (276) 632-3210 | |
| (276) 632-3213 |
| Full Name | Branches Of Hope, Llc Mental Health Support |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20 Walnut St, Martinsville, Virginia |
| Authorized Official Name and Position | Kerry Glenn Smith (OWNER-LICENSEE) |
| Authorized Official Contact | 2766323210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branches Of Hope, Llc Mental Health Support 58 W Church St Martinsville VA 24112-6210 Ph: (276) 632-3210 | Branches Of Hope, Llc Mental Health Support 20 Walnut St Martinsville VA 24112-2724 Ph: (276) 632-3210 |
| NPI Number | 1790036820 |
|---|---|
| Provider Enumeration Date | 09/28/2012 |
| Last Update Date | 11/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790036820 | NPI | - | NPPES |
| 1838-03-001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Virginia) | Primary |
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