| Branches Therapy Network, Pc | |
|
5400 Durango Trl Pleasant Plains IL 62677-4060 | |
| (217) 836-4642 | |
| Not Available |
| Full Name | Branches Therapy Network, Pc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |