Provider Demographics
NPI:1932917275
Name:NIX & BIRCH COUNSELING PLLC
Entity type:Organization
Organization Name:NIX & BIRCH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MCKENZIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCCLARAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-830-3920
Mailing Address - Street 1:1333 CARROLL ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4677
Mailing Address - Country:US
Mailing Address - Phone:319-830-3920
Mailing Address - Fax:
Practice Address - Street 1:1333 CARROLL ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4677
Practice Address - Country:US
Practice Address - Phone:319-830-3920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health