Birchwood Theraputic Services, LLC
Counselor, Professional in Joliet, IL. Organization (NPI-2).
NPI number1992425771
StatusActive
Last updated in NPPESFeb 1, 2024
Details
- NPI
- 1992425771
- Entity type
- Organization (NPI-2)
- Legal business name
- Birchwood Theraputic Services, LLC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2022
- Certification date
- Feb 1, 2024
- Last updated
- Feb 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Birchwood Wellness Group (Doing Business As)
Practice location
3012 Haven CourtJoliet, IL 60435
Phone 815-348-9438
Mailing address
2364 Essington Rd # 313Joliet, IL 60435-1664
Phone 815-348-9438
Authorized official
Kari M Fitzgerald
Owner
7733541970
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