Organization
FOUNDATIONS4CHANGE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN MARIE BIRCHER LCMHC, LCAS (PSYCHOTHERAPIST)
(919) 324-4120
Entity
Organization
Contact information
Practice address
570 NEW WAVERLY PL STE 210, CARY, NC 27518-7405
(919) 324-4120
(919) 439-5340
Mailing address
508 ANCIENT OAKS DR, HOLLY SPRINGS, NC 27540-4466
(919) 324-4120
(919) 439-5340
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942486196
—
NC
Enumeration date
12/13/2020
Last updated
12/13/2020
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