Healthcare Provider Details

I. General information

NPI: 1558483297
Provider Name (Legal Business Name): BIRCHWOOD COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 CONGRESS ST UNIT 2
MORRISVILLE VT
05661-6065
US

IV. Provider business mailing address

209 CONGRESS STREET UNIT 2
MORRISVILLE VT
05661-6065
US

V. Phone/Fax

Practice location:
  • Phone: 802-851-1030
  • Fax:
Mailing address:
  • Phone: 802-851-1030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CLAIRE HANCOCK
Title or Position: OWNER
Credential: LICSW
Phone: 802-851-1030