BIRCH TRAIL, LLC


Address: 210 Plaza St, Las Vegas, NM 87701-3433
Phone: 5054267052

BIRCH TRAIL, LLC (NPI# 1639797483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639797483
Entity Type Organization
Organization Name BIRCH TRAIL, LLC
Practice Address 210 Plaza St
Las Vegas
NM 87701-3433
Mailing Address 600 Washington St
Las Vegas
NM 87701-4235
Practice Telephone 5054267052
Mailing Telephone 5057182472
Enumeration Date 2020-07-08
Last Update Date 2020-08-01
Authorized Official Name MELISSA WILLIAMSON (OWNER)
Authorized Official Telephone 5057182472
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 210 PLAZA ST
City LAS VEGAS
State NM
Zip Code 87701-3433

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184176349 Melissa Ann Williamson Social Worker 210 Plaza St, Las Vegas, NM 87701-3433 2016-11-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851884423 Nueva Vida Counseling and Consulting Services LLC Community/Behavioral Health Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 2018-06-08
1316475403 El Centro Family Health Family Medicine 475 Legion Dr., Las Vegas, NM 87701 2017-06-01
1700327384 Anastacia Sena Jaramillo Psychologist 126 Silva Ave., Las Vegas, NM 87701 2017-03-15
1013369222 Home Medical Equipment Specialists,llc Durable Medical Equipment & Medical Supplies 514 8th Street, Las Vegas, NM 87701 2016-07-12
1750730826 John Michael Tourangeau Social Worker 1920 7th Street, Las Vegas, NM 87701 2016-06-08
1154705689 Lindsy Laura Kragt Allen Podiatrist 1608 7th St, Las Vegas, NM 87701 2015-07-14
1023409521 Ambercare Medical Supply Durable Medical Equipment & Medical Supplies 1747 N Grand Ave, Las Vegas, NM 87701 2015-02-05
1538561964 El Centro Family Health Clinic/Center 947 Old National Road, Las Vegas, NM 87701 2014-09-17
1164832150 Plaza Drugs Pharmacist 178 Bridge St, Las Vegas, NM 87701 2014-04-30
1043648165 Open Doors Home Health Care Home Health 713 Railroad Ave., Las Vegas, NM 87701 2013-10-29
Find all providers in zip 87701

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1528695897 L Jensen and Associates Inc Clinic/Center 9418 W Lake Mead Blvd Ste 308, Las Vegas, NV 89134-8312 2020-03-25
1013548817 Abraxas Center LLC Clinic/Center 4575 W Cougar Ave Ste 300, Las Vegas, NV 89139-7617 2020-01-30
1164061818 Therapy Sense Pllc Clinic/Center 9402 W Lake Mead Blvd Ofc 104, Las Vegas, NV 89134-8312 2019-12-28
1932748779 Mindworks Mental Health Clinic Clinic/Center 3830 Timberlake Dr., Las Vegas, NV 89115 2019-12-26
1205479813 Core Strength LLC Clinic/Center 186 Woolman Rink Ave, Las Vegas, NV 89123-7443 2019-10-26
1164987871 Brenda Primero Np LLC Clinic/Center 8125 Nottingham Hill Ln, Las Vegas, NV 89113-1888 2019-02-06
1699281915 Desert Wellness Center Clinic/Center 3341 Ascona Ct, Las Vegas, NV 89129-6190 2017-12-22
1821537242 Nicole R Vaughn Changing Minds Clinic/Center 911 N Buffalo Dr Unit 206, Las Vegas, NV 89128-0381 2017-02-17
1376090910 Renaissance Ranch Outpatient, LLC Clinic/Center 3037 E Warm Springs Rd, Suite 400, Las Vegas, NV 89120-3758 2016-09-01
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Competitor

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City LAS VEGAS
Zip Code 87701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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