| Branches Of Life, Inc. | |
|
1203 Poplar Ave Ste 5 Memphis TN 38104-7278 | |
| (901) 728-5554 | |
| (901) 728-6011 |
| Full Name | Branches Of Life, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1203 Poplar Ave Ste 5, Memphis, Tennessee |
| Authorized Official Name and Position | Gregory Motley (DIRECTOR) |
| Authorized Official Contact | 9017285554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branches Of Life, Inc. Po Box 40632 Memphis TN 38174-0632 Ph: (901) 728-5554 | Branches Of Life, Inc. 1203 Poplar Ave Ste 5 Memphis TN 38104-7278 Ph: (901) 728-5554 |
| NPI Number | 1609959212 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609959212 | NPI | - | NPPES |
| 561112000 | Other | TN | MAGELLAN |
| 11587744 | Other | TN | J.D. FARLEY INSURANCE |
| 60054 | Other | TN | AETNA |
| 3728928 | Medicaid | TN | |
| 11549639 | Other | TN | CAQH-AETNA |
| 4114450 | Other | TN | BLUE CROSS BLUE SHIELD |
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