| Birchlawn Place Counseling Center, Inc | |
|
3520 E River Rd Ne Rochester MN 55906-5407 | |
| (507) 258-3287 | |
| (507) 258-3288 |
| Full Name | Birchlawn Place Counseling Center, Inc |
|---|---|
| Speciality | Counselor |
| Location | 3520 E River Rd Ne, Rochester, Minnesota |
| Authorized Official Name and Position | Brittni J. Timmerman (FOUNDER, OWNER, CEO) |
| Authorized Official Contact | 5072583287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Birchlawn Place Counseling Center, Inc 3520 E River Rd Ne Rochester MN 55906-5407 Ph: (507) 258-3287 | Birchlawn Place Counseling Center, Inc 3520 E River Rd Ne Rochester MN 55906-5407 Ph: (507) 258-3287 |
| NPI Number | 1568016681 |
|---|---|
| Provider Enumeration Date | 07/26/2019 |
| Last Update Date | 10/19/2021 |
| Certification Date | 10/19/2021 |
| Medicare PECOS PAC ID | 6800299330 |
|---|---|
| Medicare Enrollment ID | O20210721003547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568016681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 225XM0800X | Occupational Therapist - Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Morgan Lea Scheid |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396337366 PECOS PAC ID: 7719380989 Enrollment ID: I20210726001834 |
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