Organization
BRANCHES OF HOPE, LLC MENTAL HEALTH SUPPORT
Active
Organization
BRANCHES OF HOPE, LLC MENTAL HEALTH SUPPORT
Active
Parent organization
BRANCHES OF HOPE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRANCHES OF HOPE, LLC
Authorized official
MR. KERRY GLENN SMITH PRESIDENT (OWNER-LICENSEE)
(276) 632-3210
Entity
Organization
Contact information
Practice address
20 WALNUT ST, MARTINSVILLE, VA 24112-2724
(276) 632-3210
(276) 632-3213
Mailing address
58 W CHURCH ST, MARTINSVILLE, VA 24112-6210
(276) 632-3210
(276) 632-3213
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1838-03-001
—
VA
Enumeration date
09/28/2012
Last updated
11/25/2015
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