| Branches Of Hope | |
|
1200 S Church St Ste 20 Mount Laurel NJ 08054-2936 | |
| (609) 491-3007 | |
| (609) 853-0221 |
| Full Name | Branches Of Hope |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1200 S Church St Ste 20, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Tieshau Middlebrooks (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 6094913007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branches Of Hope 1200 S Church St Ste 20 Mount Laurel NJ 08054-2936 Ph: (609) 491-3007 | Branches Of Hope 1200 S Church St Ste 20 Mount Laurel NJ 08054-2936 Ph: (609) 491-3007 |
| NPI Number | 1285217604 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 06/07/2022 |
| Certification Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285217604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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