Branch & Vine Llc

LBN: Branch & Vine Llc
Branch & Vine Llc is an health care organization with primary practice located at 2040 W Main St Ste 311, Rapid City SD 57702. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Branch & Vine Llc can be contacted via phone (605) 600-3733, or through Stamper, Edmund Jason via phone (605) 600-3733.

Contact Information

Primary practice address
2040 W Main St Ste 311 Rapid City SD 57702
Phone: (605) 600-3733
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stamper, Edmund Jason LPC-MH, NCC, QMHP
Phone: (605) 600-3733

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1326798943
LBN Legal business name Branch & Vine Llc
DBA Doing business as
Authorized official Stamper, Edmund Jason LPC-MH, NCC, QMHP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2022
Last updated Mar 26th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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