MEDICARE: ERIN N BURCH NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1619763257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN N BURCH NCC

Provider Business Mailing Address
First Line	:	3308 MEADOW POINT DR
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30039-7771
Country	:	US
Telephone Number	:	404-317-2124
Fax Number	:

Provider Business Practice Location Address
First Line	:	2033 HOSEA L WILLIAMS DR NE
Second Line	:	FL 2
City	:	ATLANTA
State	:	GA
Zip	:	30317
Country	:	US
Telephone Number	:	404-432-0404
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2025
Last Update Date	:	05/05/2026

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Directions to “ ERIN N BURCH NCC” Practice Location

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