Branches Of Life, Inc. is a Ph.D. Medical Genetics based in Memphis, TN. Branches Of Life, Inc. practices in Memphis, TN. The NPI Number for Branches Of Life, Inc. is 1609959212 and holds a License No. AC23491 (Tennessee).
The current practice location address for Branches Of Life, Inc. is 1203 Poplar Ave Ste 5, Memphis, TN and can be reached out via phone at 901-728-5554 and via fax at 901-728-6011.
Location: 1203 Poplar Ave Ste 5, Memphis, TN, 38174-0632
Provider Profile Details
NPI Number
1609959212
Provider Name
Branches Of Life, Inc.
Credential
Provider Entity Type
Organization
Address
1203 Poplar Ave Ste 5, Memphis, TN, 38174-0632
Phone Number
901-728-5554
Fax Number
901-728-6011
Provider Enumeration Date
10/24/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 561112000 | 01 | TN | MAGELLAN |
| 11587744 | 01 | TN | J.D. FARLEY INSURANCE |
| 60054 | 01 | TN | AETNA |
| 3728928 | 05 | TN | |
| 11549639 | 01 | TN | CAQH-AETNA |
| 4114450 | 01 | TN | BLUE CROSS BLUE SHIELD |
Provider Business Practice Location Address Details
Address
1203 Poplar Ave Ste 5
City
State
Zip
38104-7278
Phone Number
901-728-5554
Fax Number
901-728-6011
Provider Business Mailing Address Details
Address
1203 Poplar Ave Ste 5
City
State
Zip
38104-7278
Phone Number
901-728-5554
Fax Number
901-728-6011
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
CSW (Tennessee)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC908 (Tennessee)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
BC23491 (Tennessee)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
308 (Oklahoma)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
License No.
F16765 (Tennessee)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Provider's Taxonomy Details 6
Type
Other Service Providers
Classification
Medical Genetics, Ph.D. Medical Genetics
Speciality
-
Taxonomy
License No.
AC23491 (Tennessee)
Definition
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
Badge
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