Healthcare Provider Details

I. General information

NPI: 1891601563
Provider Name (Legal Business Name): BRANCHE PSYCHIATRY STAFFING GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19785 W 12 MILE RD # 354
SOUTHFIELD MI
48076-2584
US

IV. Provider business mailing address

19785 W 12 MILE RD # 354
SOUTHFIELD MI
48076-2584
US

V. Phone/Fax

Practice location:
  • Phone: 248-963-8804
  • Fax:
Mailing address:
  • Phone: 248-963-8804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KAREN L BOYD
Title or Position: OWNER
Credential: DNP
Phone: 248-963-8804