Provider Demographics
NPI:1023902541
Name:BRANCH, SYN'TORIA JA'LECIA (MA, LPC-A, NCC)
Entity type:Individual
Prefix:
First Name:SYN'TORIA
Middle Name:JA'LECIA
Last Name:BRANCH
Suffix:
Gender:F
Credentials:MA, LPC-A, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 SANDALL ST
Mailing Address - Street 2:
Mailing Address - City:NAVASOTA
Mailing Address - State:TX
Mailing Address - Zip Code:77868-3757
Mailing Address - Country:US
Mailing Address - Phone:936-870-8467
Mailing Address - Fax:
Practice Address - Street 1:336 1/2 N MAIN ST STE 210
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-3379
Practice Address - Country:US
Practice Address - Phone:936-870-8467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97184101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health