Organization
BRANCHES OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIESHAU MIDDLEBROOKS NP (NURSE PRACTITIONER/OWNER)
(609) 491-3007
Entity
Organization
Contact information
Practice address
1200 S CHURCH ST STE 20, MOUNT LAUREL, NJ 08054-2936
(609) 491-3007
(609) 853-0221
Mailing address
1200 S CHURCH ST STE 20, MOUNT LAUREL, NJ 08054-2936
(609) 491-3007
(609) 853-0221
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
06/07/2022
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