| Birchwood Healing Place | |
|
1050 Chinoe Rd Ste 112 Lexington KY 40502-6571 | |
| (859) 312-6569 | |
| (855) 594-5062 |
| Full Name | Birchwood Healing Place |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1050 Chinoe Rd Ste 112, Lexington, Kentucky |
| Authorized Official Name and Position | Loretta Lynn Gilmore (LICENSED CLINICAL SOCIAL WORK / OWN) |
| Authorized Official Contact | 8593126569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birchwood Healing Place 1050 Chinoe Rd Ste 112 Lexington KY 40502-6571 Ph: (859) 312-6569 | Birchwood Healing Place 1050 Chinoe Rd Ste 112 Lexington KY 40502-6571 Ph: (859) 312-6569 |
| NPI Number | 1033684477 |
|---|---|
| Provider Enumeration Date | 10/12/2018 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033684477 | NPI | - | NPPES |
| 7100422750 | Medicaid | KY | |
| 7100958780 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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