Branches Of Life, Inc.

LBN: Branches Of Life, Inc.
Branches Of Life, Inc. is an health care organization with primary practice located at 1203 Poplar Ave Ste 5 , Memphis TN 38104-7278. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Medical Genetics, Ph.D. Medical Genetics. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Branches Of Life, Inc. can be contacted via phone (901) 728-5554, or through Motley, Gregory via phone (901) 728-5554.

Contact Information

Primary practice address
1203 Poplar Ave Ste 5 Memphis TN 38104-7278
Phone: (901) 728-5554
Fax: (901) 728-6011
Website:
Map and Directions
Authorized official contact:
Name: Motley, Gregory LMSW, LADC, MAC, MED
Phone: (901) 728-5554

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X AC23491 Tennessee
Behavioral Health & Social Service Providers / Counselor 101Y00000X F16765 Tennessee
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 308 Oklahoma
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X BC23491 Tennessee
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC908 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X F20063 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW3185 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW3165 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW1502 Arkansas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LPC908 Tennessee
Other Service Providers / Medical Genetics, Ph.D. Medical Genetics 170100000X MD010748 Tennessee

Profile Details

NPI number 1609959212
LBN Legal business name Branches Of Life, Inc.
DBA Doing business as
Authorized official Motley, Gregory LMSW, LADC, MAC, MED
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Jun 22nd, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609959212 NPPES
Tennessee Other 561112000 MAGELLAN
Tennessee Other 11587744 MAGELLAN
Tennessee Other 60054 MAGELLAN
Tennessee MEDICAID 3728928 MAGELLAN
Tennessee Other 11549639 MAGELLAN
Tennessee Other 4114450 MAGELLAN

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