Provider Demographics
NPI:1427487057
Name:BURCH, ERIN K (LCSW, LAC)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:K
Last Name:BURCH
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 9TH ST S STE 200
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-4509
Mailing Address - Country:US
Mailing Address - Phone:406-407-1839
Mailing Address - Fax:406-447-6080
Practice Address - Street 1:1417 9TH STREET SOUTH
Practice Address - Street 2:SUITE 200
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-4304
Practice Address - Country:US
Practice Address - Phone:406-407-1839
Practice Address - Fax:406-447-6080
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1391101YA0400X
MT46321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)