Healthcare Provider Details

I. General information

NPI: 1619763257
Provider Name (Legal Business Name): ERIN N BURCH NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2033 HOSEA L WILLIAMS DR NE FL 2
ATLANTA GA
30317
US

IV. Provider business mailing address

3308 MEADOW POINT DR
SNELLVILLE GA
30039-7771
US

V. Phone/Fax

Practice location:
  • Phone: 404-432-0404
  • Fax:
Mailing address:
  • Phone: 404-317-2124
  • 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:
Title or Position:
Credential:
Phone: