Branches Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091773 Issued in MI

Legal business name

BRANCHES COUNSELING PLLC

Practice address

16801 Newburgh Rd
Suite 109
Livonia, MI 48154-1606

Phone

(734) 377-4134

NPI assigned

Jun 3, 2010

Organization subpart

No

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

Authorized official

Name

Beth Bunn, MSW, LCSW, LMSW

Title

Owner/Therapist

Phone

(734) 377-4134

Specialties & licenses 5

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1306166160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16801 NEWBURGH RD",
            "address_2": "SUITE 109",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541606",
            "telephone_number": "734-377-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16801 NEWBURGH RD",
            "address_2": "SUITE 109",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541606",
            "telephone_number": "734-377-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCHES COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "734-377-4134",
        "authorized_official_credential": "MSW, LCSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-01551",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "204697",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "091773",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005756A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "078431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "34005756A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASTERS SOCIAL WORKER CLINICAL/MACRO",
            "identifier": "091773",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASTERS SOCIAL WORKER CLINICAL/MACRO",
            "identifier": "078431",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Bradshaw
• Stephanie Lynn Brady, DNP
• Michael Andrew Brager, M.D.
• Lois J Bragg, PA
• Natalie Braggs
• Michael Stephan Brandon Jr., D.O.
• Brandt Consulting LLC
• Michael Brandt, MD
• Nicholas Branscomb, D.O.
• Mindy L Braquet, CCP

• Clinical Social Worker in Livonia, MI
• Providers in Livonia, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.