Provider Demographics
NPI:1215312152
Name:RICHARD BRANIFF, PHD
Entity type:Organization
Organization Name:RICHARD BRANIFF, PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:BRANIFF
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:225-744-4047
Mailing Address - Street 1:36462 HIDDEN OAKS CT
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3449
Mailing Address - Country:US
Mailing Address - Phone:225-744-4047
Mailing Address - Fax:225-677-7219
Practice Address - Street 1:8318 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-0800
Practice Address - Country:US
Practice Address - Phone:225-744-4047
Practice Address - Fax:225-677-7219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1464101YM0800X
LA10391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty