Branch of Life, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BRANCH OF LIFE, INC

Practice address

202 W Center St Ste F
Duncanville, TX 75116-3441

Phone

(972) 296-2676

NPI assigned

Feb 23, 2011

Last updated

Feb 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Billy W Corn, LPC,LMFTNPI 1346323706

Title

Ceo

Phone

(972) 296-2676

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Billy Winford Corn, LPC, LMFT, ADS

  • Professional Counselor
  • Kemp, TX
  • NPI 1346323706
  NPD (past) Authorized official

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1609173889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8554 COUNTY ROAD 4023",
            "city": "KEMP",
            "state": "TX",
            "postal_code": "751434354",
            "telephone_number": "972-296-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W CENTER ST STE F",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163441",
            "telephone_number": "972-296-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH OF LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "CORN",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-296-2676",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC,LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187018001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Blough, BCBA
• Blue Sky Health
• Scott Edward Bouley, DC
• Fina Bowie, ANP, GNP
• Lauren Brady, SLP-CCC
• Brandelene Wellness & Spa, PLLC
• Martha Ann Breckenridge, NP
• Brightstar Healthcare Agency
• Tammy Britton
• Janice Brown, CCC-SLP

• Professional Counselor in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.