Doctor Name: | TANESHA BIRCH |
NPI Number: | 1023463585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSS |
License Number: | |
Business Practice Address: | 120 S 24th St Suite 100 Omaha, NE - 681021213 |
Business Phone Number: | 4023427007 |
Business Fax Number: | 4026617117 |
Mailing Address: | 124 S 24th St, Suite 230 OMAHA |
State: | NE |
Postal Code: | 681021226 |
Phone Number: | 8775181070 |
Fax Number: | 4025915075 |
NPI Enumeration Date: | 05/03/2016 |
NPI Last Update Date: | 05/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |