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General NPI Number Information
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NPI Number | 1326149188
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Entity Type | Organization
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Legal Business Name | THE BIRCH STREET COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 302 ROCKINGHAM RD
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City | LONDONDERRY
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State | NH
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Zip | 03053-2103
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Country | US
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Telephone | 603-296-4087
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Fax | 603-296-4089
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Provider Business Mailing Address
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Address Line | 302 ROCKINGHAM RD
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City | LONDONDERRY
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State | NH
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Zip | 03053-2103
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Country | US
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Telephone | 603-296-4087
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Fax | 603-296-4089
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KAY EDWARDS
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Credential | M.ED., LCMHC
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Telephone | 603-296-4087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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