Provider Demographics
NPI:1700437373
Name:BRANCHES OF BEHAVIOR, LLC
Entity Type:Organization
Organization Name:BRANCHES OF BEHAVIOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-226-2848
Mailing Address - Street 1:6047 FRANTZ RD STE 205
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3366
Mailing Address - Country:US
Mailing Address - Phone:614-956-4591
Mailing Address - Fax:
Practice Address - Street 1:6047 FRANTZ RD STE 205
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3366
Practice Address - Country:US
Practice Address - Phone:614-956-4591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty