The Vine & the Branches LLC
NPI #1356029847 in Washington, Illinois
Provider Information
- NPI Number
- 1356029847
- Entity Type
- Organization
- Organization Name
- The Vine & the Branches LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 6, 2023
- Last Updated
- Jul 6, 2023
Practice Location
- Address
- 112 S MAIN ST
- City
- Washington
- State
- Illinois
- ZIP Code
- 61571-2552
- Phone
- (309) 635-5655
Authorized Official
- Name
- ANGELLA MARIA LEWIS, LCPC
- Title
- OWNER
- Phone
- (309) 635-5655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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