Provider Demographics
NPI:1568016681
Name:BIRCHLAWN PLACE COUNSELING CENTER, INC
Entity Type:Organization
Organization Name:BIRCHLAWN PLACE COUNSELING CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, OWNER, CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BRITTNI
Authorized Official - Middle Name:J
Authorized Official - Last Name:TIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPCC, NCC, RPT
Authorized Official - Phone:507-258-3287
Mailing Address - Street 1:3520 E RIVER RD NE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-5407
Mailing Address - Country:US
Mailing Address - Phone:507-258-3287
Mailing Address - Fax:507-258-3288
Practice Address - Street 1:3520 E RIVER RD NE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-5407
Practice Address - Country:US
Practice Address - Phone:507-258-3287
Practice Address - Fax:507-258-3288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-26
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental HealthGroup - Multi-Specialty