Healthcare Provider Details

I. General information

NPI: 1255276176
Provider Name (Legal Business Name): BECOMING BRANCHES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 LANDMARK DR
NORMAL IL
61761-2376
US

IV. Provider business mailing address

6082 N 2800 EAST RD
FORREST IL
61741-9470
US

V. Phone/Fax

Practice location:
  • Phone: 309-731-4096
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: EMILY GERBER
Title or Position: OWNER
Credential:
Phone: 815-383-6820