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BIRCHWOOD THERAPUTIC SERVICES LLC NPI 1992425771


NPI Information

NPI: 1992425771
Provider Name: BIRCHWOOD THERAPUTIC SERVICES, LLC

Doing Business As: BIRCHWOOD WELLNESS GROUP

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3012 HAVEN COURT
JOLIET, IL
ZIP 60435
Phone: (815) 348-9438
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BIRCHWOOD THERAPUTIC SERVICES, LLC is a professional counselor in Joliet, IL. BIRCHWOOD THERAPUTIC SERVICES, LLC NPI is 1992425771. The provider is registered as an organization entity type.
The provider Is Doing Business As Birchwood Wellness Group.

The provider's business location address is:

3012 HAVEN COURT
JOLIET, IL
ZIP 60435
Phone: (815) 348-9438

The provider's authorized official is Kari M Fitzgerald .
The authorized official title is Owner and has the following contact phone number (773) 354-1970.

The enumeration date for this NPI number is 8/31/2022 and was last updated on 2/1/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.