| Branscomb Counseling Pllc | |
|
4555 Shattalon Dr Winston Salem NC 27106-2052 | |
| (336) 413-6717 | |
| Not Available |
| Full Name | Branscomb Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4555 Shattalon Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Joel Branscomb (ORGANIZER) |
| Authorized Official Contact | 3364136717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branscomb Counseling Pllc 5325 Fairburn Dr Winston Salem NC 27106-6312 Ph: (336) 413-6717 | Branscomb Counseling Pllc 4555 Shattalon Dr Winston Salem NC 27106-2052 Ph: (336) 413-6717 |
| NPI Number | 1346017118 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346017118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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