Healthcare Provider Details

I. General information

NPI: 1003732512
Provider Name (Legal Business Name): CEDAR BRANCH SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 DEVONSHIRE RD
ATKINSON NH
03811-2502
US

IV. Provider business mailing address

141 BROADWAY
CONCORD NH
03301-2745
US

V. Phone/Fax

Practice location:
  • Phone: 603-995-0014
  • Fax:
Mailing address:
  • Phone: 603-995-0014
  • 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: MR. JOSHUA NYE
Title or Position: OWNER
Credential: LCMHC, LMHC
Phone: 603-995-0014