Provider Demographics
NPI:1467214569
Name:MEGHAN BIRCH LPC, LLC
Entity Type:Organization
Organization Name:MEGHAN BIRCH LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:MEGHAN
Authorized Official - Last Name:BIRCH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-589-0144
Mailing Address - Street 1:2830 MISSY DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-4327
Mailing Address - Country:US
Mailing Address - Phone:770-589-1044
Mailing Address - Fax:
Practice Address - Street 1:2830 MISSY DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-4327
Practice Address - Country:US
Practice Address - Phone:912-657-6886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health