# BIRCH WELLNESS GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427811280
- **Authorized official:** AMY KLINGER NP (PRESIDENT)
- **Authorized official phone:** (614) 924-7412

## Contact information

- **Practice address:** 5239 COLUMBUS RD STE A, GRANVILLE, OH 43023-9624
- **Practice address phone:** (614) 924-7412
- **Practice address fax:** (614) 683-5850
- **Mailing address:** 333 SHANNON LN, GRANVILLE, OH 43023-9423
- **Mailing address phone:** (614) 924-7412
- **Mailing address fax:** (614) 683-5850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2024
- **Last updated:** 02/15/2024