MRS. PHEYNELL BRANCH (NPI# 1457780496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457780496 |
| Entity Type | Individual |
| Full Name | MRS. PHEYNELL BRANCH |
| Credential | AAS, CSAC,CSIT |
| Practice Address |
1650 Wasington Ave Racine WI 53403 |
| Mailing Address |
6737 W Washington St Ste 2210 West Allis WI 53214-5650 |
| Practice Telephone | 2626335001 |
| Mailing Telephone | 4147771570 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15476-133 | WI | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15662-132 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1650 WASINGTON AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| 1992757744 | Gary L Shepherdson | Family Medicine | Mcw & All Saints Health Care System, 1320 Wisconsin Ave., Racine, WI 53403 | 2006-05-17 |
| Find all providers in zip 53403 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1871953950 | Amybeth Mahoney | Counselor | 4726 N Green Bay Rd, Racine, WI 53404-1108 | 2016-03-02 |
| 1255798351 | Lazria Price | Counselor | 3801 Monarch Drive 2d, Racine, WI 53406-5500 | 2016-01-20 |
| 1881067197 | Jerry Morris | Counselor | 1303 Chatham St, Racine, WI 53402-4947 | 2015-11-09 |
| 1225434244 | Tuanquilla Montessa Thompson | Counselor | 829 Wisconsin Ave, Racine, WI 53403-1505 | 2014-11-18 |
| 1578811980 | Orlesia Gay Gooseberry | Counselor | 1501 Albert St, North Unit Upper, Racine, WI 53404-2713 | 2012-08-16 |
| 1720363849 | Carla Yvette Ward | Counselor | 5735 Durand Ave Suite A, Racine, WI 53406 | 2011-10-20 |
| 1871804963 | Sharon Johnson-visor | Counselor | 6939 Mariner Dr Ste C, Racine, WI 53406-4090 | 2010-06-23 |
| 1770753766 | Sara L De Grave | Counselor | 521 Sixth St, Racine, WI 53403-1117 | 2008-03-05 |
| 1083813224 | Mwa Counseling | Counselor | 4425 Taylor Ave, Racine, WI 53405-4642 | 2007-07-17 |
| Find all providers in RACINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.