Healthcare Provider Details

I. General information

NPI: 1346196664
Provider Name (Legal Business Name): EMBER AND BRANCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 SOUTH AVE
SPRINGFIELD MO
65806-2123
US

IV. Provider business mailing address

325 SOUTH AVE
SPRINGFIELD MO
65806-2123
US

V. Phone/Fax

Practice location:
  • Phone: 417-942-7384
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: BRANDON FINLEY
Title or Position: PROVIDER/DIRECTOR
Credential: PMHNP
Phone: 417-413-6690