Provider Demographics
NPI:1528238979
Name:BRANCH COUNSELING, INC.
Entity type:Organization
Organization Name:BRANCH COUNSELING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANCH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:706-621-8699
Mailing Address - Street 1:423 ATLANTIC DR
Mailing Address - Street 2:
Mailing Address - City:SAINT SIMONS IS
Mailing Address - State:GA
Mailing Address - Zip Code:31522-1373
Mailing Address - Country:US
Mailing Address - Phone:706-621-8699
Mailing Address - Fax:706-543-4458
Practice Address - Street 1:1 HUNTINGTON RD STE 204
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-7206
Practice Address - Country:US
Practice Address - Phone:706-621-8699
Practice Address - Fax:770-543-4458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-01
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty