Branch Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BRANCH WELLNESS LLC

Practice address

1900 Lexington Ave
Clinton, OK 73601-5320

Phone

(405) 401-4693

NPI assigned

Oct 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Haley Jordan Nunn, MS. LPCNPI 1720239676

Title

Therapist

Phone

(405) 401-4693

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haley Jordan Nunn, MS, LPC

  • Mental Health Counselor
  • Clinton, OK
  • NPI 1720239676
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1184445173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736010132",
            "telephone_number": "405-401-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LEXINGTON AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736015320",
            "telephone_number": "405-401-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "HALEY",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "405-401-4693",
        "authorized_official_credential": "MS. LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Denise Boese, D.PH.
• David Lynn Boone, D.D.S.
• Namen Bouma
• Kimberlynn Bownds, RN
• Alicia Carol Bradford
• Cassandra Brockelman, PHARMD
• Kandace Leah Brown, BS
• Troy K Brown, CRNA
• Paula Rene'E Brunner
• Joseph Preston Bryant, PHARM.D.

• All providers in Clinton, OK
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.