Branch, Alexcius

Branch, Alexcius is an individual health care provider with primary practice located at 3522 Habersham At Northlake Ste B , Tucker GA 30084-4009. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Pastoral is her primary health care specialty. Branch, Alexcius can be contacted via phone (901) 606-7966.

Contact Information

Primary practice address
3522 Habersham At Northlake Ste B Tucker GA 30084-4009
Phone: (901) 606-7966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Georgia
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Georgia

Profile Details

NPI number 1972189017
LBN Legal business name Branch, Alexcius
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2021
Last updated Mar 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972189017 NPPES
Georgia Other 812990 COMMUNITY HEALTH/MULTI-SERVICE

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