Organization
BIRCHWOOD THERAPUTIC SERVICES, LLC
Active
Other names
Birchwood Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
KARI M FITZGERALD LCPC (OWNER)
(773) 354-1970
Entity
Organization
Contact information
Practice address
3012 HAVEN COURT, JOLIET, IL 60435
(815) 348-9438
Mailing address
2364 ESSINGTON RD # 313, JOLIET, IL 60435-1664
(815) 348-9438
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/31/2022
Last updated
02/01/2024
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