Organization · NPI-2

Branscomb Counseling PLLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Winston Salem, NC

NPI number1346017118
StatusActive
Last updated in NPPESDec 11, 2023

Details

NPI
1346017118
Entity type
Organization (NPI-2)
Legal business name
Branscomb Counseling PLLC
Organization subpart
No
Enumeration date
Dec 11, 2023
Certification date
Dec 11, 2023
Last updated
Dec 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

4555 Shattalon Dr
Winston Salem, NC 27106-2052

Phone 336-413-6717

Mailing address

5325 Fairburn Dr
Winston Salem, NC 27106-6312

Phone 336-413-6717

Authorized official

Joel Branscomb
Organizer
3364136717

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