Branches Therapy Network, Pc | |
5400 Durango Trl Pleasant Plains IL 62677-4060 | |
(217) 836-4642 | |
Not Available |
Full Name | Branches Therapy Network, Pc |
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Speciality | Counselor - Mental Health |
Location | 5400 Durango Trl, Pleasant Plains, Illinois |
Authorized Official Name and Position | Matthew T. Grey (PRESIDENT/CEO) |
Authorized Official Contact | 8332272624 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Branches Therapy Network, Pc 26 Deer Trail Dr Collinsville IL 62234-6817 Ph: (833) 227-2624 | Branches Therapy Network, Pc 5400 Durango Trl Pleasant Plains IL 62677-4060 Ph: (217) 836-4642 |
NPI Number | 1073011706 |
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Provider Enumeration Date | 01/29/2018 |
Last Update Date | 04/17/2024 |
Certification Date | 04/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073011706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 060-012183 (Illinois) | Primary |