Branch Lane Psychotherapy
Social Worker, Clinical in Ponte Vedra Beach, Florida
1447125869- Practice location
- 90 Fort Wade RD Ste 100, Ponte Vedra Beach, FL 32081-5114
- Phone
- 904-201-9851
- Fax
- —
- Last updated
- July 7, 2026
Branch Lane Psychotherapy is a healthcare organization based in Ponte Vedra Beach, FL. Branch Lane Psychotherapy practices in Ponte Vedra Beach, FL. The NPI Number for Branch Lane Psychotherapy is 1447125869. The current practice location address for Branch Lane Psychotherapy is 90 Fort Wade RD Ste 100, Ponte Vedra Beach, FL 32081-5114 and can be reached out via phone at 904-201-9851.
Provider Profile Details
- NPI Number
- 1447125869
- Provider Name
- Branch Lane Psychotherapy
- Provider Entity Type
- Organization
- Address
- 90 Fort Wade RD Ste 100, Ponte Vedra Beach, FL 32081-5114
- Phone Number
- 904-201-9851
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Erica Oppenheimer, LCSW · Manager · 347-377-0973
- Provider Enumeration Date
- October 7, 2025
- Last Update Date
- July 7, 2026
- Certification Date
- July 7, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Fort Wade RD Ste 100
Ponte Vedra Beach, FL 32081-5114 - State
- Florida
- Zip
- 32081-5114
- Phone Number
- 904-201-9851
Provider Business Mailing Address Details
- Address
- 90 Fort Wade RD Ste 100
Ponte Vedra Beach, FL 32081-5114 - City
- Ponte Vedra Beach
- State
- FL
- Zip
- 32081-5114
- Phone Number
- 347-377-0973
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Ponte Vedra Beach, FL
View all Social Worker, Clinical providers in Ponte Vedra Beach →Frequently Asked Questions
What is the NPI number of Branch Lane Psychotherapy?
The NPI number of Branch Lane Psychotherapy is 1447125869. It was assigned on October 7, 2025 and is currently active in the NPPES registry.
What is the specialty of Branch Lane Psychotherapy?
Branch Lane Psychotherapy is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Branch Lane Psychotherapy practice?
The practice location is 90 Fort Wade RD Ste 100, Ponte Vedra Beach, FL 32081-5114. The office can be reached at 904-201-9851 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447125869 directly on the NPPES registry website.