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Organization
BIRCH WELLNESS GROUP LLC
Active
Organization
BIRCH WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KLINGER NP (PRESIDENT)
(614) 924-7412
Entity
Organization
Contact information
Practice address
5239 COLUMBUS RD STE A, GRANVILLE, OH 43023-9624
(614) 924-7412
(614) 683-5850
Mailing address
333 SHANNON LN, GRANVILLE, OH 43023-9423
(614) 924-7412
(614) 683-5850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/15/2024
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