MEDICARE: BIRCH COUNSELING PLLC

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	:	1932947868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIRCH COUNSELING PLLC

Provider Business Mailing Address
First Line	:	5856 S LOWELL BLVD
Second Line	:	STE 32 UNIT 279
City	:	LITTLETON
State	:	CO
Zip	:	80123-7915
Country	:	US
Telephone Number	:	214-702-2919
Fax Number	:

Provider Business Practice Location Address
First Line	:	2744 S CLARKSON ST
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-1702
Country	:	US
Telephone Number	:	214-702-2919
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATHRYN WHITE
Credential	:
Telephone Number	:	214-702-2919

Provider Enumeration Date	:	07/16/2024
Last Update Date	:	08/19/2024

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