Branches of Hope, LLC Mental Health Support

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRANCHES OF HOPE, LLC MENTAL HEALTH SUPPORT

Practice address

20 Walnut St
Martinsville, VA 24112-2724

Phone

(276) 632-3210

Fax

(276) 632-3213

NPI assigned

Sep 28, 2012

Organization subpart

Yes

Parent organization

BRANCHES OF HOPE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Kerry Glenn Smith, PRESIDENT

Title

Owner-Licensee

Phone

(276) 632-3210

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Branches of Hope LLC Mental Health Support

Locations

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1790036820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 W CHURCH ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241126210",
            "telephone_number": "276-632-3210",
            "fax_number": "276-632-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WALNUT ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122724",
            "telephone_number": "276-632-3210",
            "fax_number": "276-632-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCHES OF HOPE, LLC MENTAL HEALTH SUPPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRANCHES OF HOPE, LLC",
        "enumeration_date": "2012-09-28",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER-LICENSEE",
        "authorized_official_telephone_number": "276-632-3210",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1838-03-001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.