NPI Code Detail JSON Logo

1255276176 NPI number — BECOMING BRANCHES PLLC

NPI Number: 1255276176
Health Care Provider/Practitioner: BECOMING BRANCHES PLLC

Information about “1255276176” NPI (BECOMING BRANCHES PLLC) exists in 1255276176 in HTML format HTML  |  1255276176 in plain Text format TXT  |  1255276176 in PDF (Portable Document Format) PDF  |  1255276176 in an XML format XML  formats.

NPI Number : 1255276176 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255276176",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BECOMING BRANCHES PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6082 N 2800 EAST RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORREST",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61741-9470",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "205 LANDMARK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORMAL",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61761-2376",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "309-731-4096",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/20/2026",
    "LastUpdateDate": "04/20/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GERBER",
    "AuthorizedOfficialFirstName": "EMILY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "815-383-6820",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.