Birch Lake Professional Counseling Group, Inc. in White Bear Lake - Professional
Birch Lake Professional Counseling Group, Inc. - NPI 1386863793
Birch Lake Professional Counseling Group, Inc. is a Professional in White Bear Lake, Minnesota. Birch Lake Professional Counseling Group, Inc. practices all healthcare services and medical treatments related to Professional. The NPI Number for Birch Lake Professional Counseling Group, Inc. is 1386863793. The last update date is 2020-08-22.
Birch Lake Professional Counseling Group, Inc.'s current location address is 1310 Highway 96 E, White Bear Lake, Minnesota. You can contact this provider via phone number 6516531925 and fax number 6516531956. The mailing address for Birch Lake Professional Counseling Group, Inc. is 1310 Highway 96 E, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Birch Lake Professional Counseling Group, Inc. |
|---|---|
| Address | 1310 Highway 96 E, White Bear Lake, Minnesota |
| Phone Number | 6516531925 |
| Fax Number | 6516531956 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING D |
|---|---|
| Authorized Official Name | Gladden William Joe |
| Credentials | PH.D. LPC, |
| Telephone Number | 6516531925 |
NPI Number Detail
| NPI Number | 1386863793 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1310 Highway 96 E |
|---|---|
| City | White Bear Lake |
| State | Minnesota (MN) |
| Post Code | 551103624 |
| Phone Number | 6516531925 |
| Fax Number | 6516531956 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 133 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 133 | MN | LPC |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Birch Lake Professional Counseling Group, Inc. by the Centers for Medicare & Medicaid Services?
The Birch Lake Professional Counseling Group, Inc. has been assigned the NPI (National Provider Identifier) 1386863793 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Birch Lake Professional Counseling Group, Inc. is physically located?
The Birch Lake Professional Counseling Group, Inc. is physically situated at the following address: 1310 Highway 96 E, White Bear Lake, MN, 551103624.
What is Birch Lake Professional Counseling Group, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Birch Lake Professional Counseling Group, Inc. is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386863793 to Birch Lake Professional Counseling Group, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1386863793 to Birch Lake Professional Counseling Group, Inc. on 2007-04-24.
As of what date was the information regarding Birch Lake Professional Counseling Group, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Birch Lake Professional Counseling Group, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.