Organization
BRANCHES THERAPY NETWORK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW T. GREY MA, LCPC (PRESIDENT/CEO)
(833) 227-2624
Entity
Organization
Contact information
Practice address
5400 DURANGO TRL, PLEASANT PLAINS, IL 62677-4060
(217) 836-4642
Mailing address
26 DEER TRAIL DR, COLLINSVILLE, IL 62234-6817
(833) 227-2624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
060-012183
IL
Other
Enumeration date
01/29/2018
Last updated
04/17/2024
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