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BIRCH TRAIL, LLC
NPI 1639797483
Clinic/Center - Adult Mental Health in Las Vegas, NM

Active since July 08, 2020
210 PLAZA ST, LAS VEGAS, NM 87701(505) 426-7052 Get Directions Write a Review

NPPES record last updated: August 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2020, Jul 8, 2020 (2 updates tracked since 2020).

About Birch Trail, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIRCH TRAIL, LLC (NPI 1639797483) is a healthcare organization registered as an adult mental health in Las Vegas, New Mexico and active in the NPI registry since July 2020. The organization lists Melissa Williamson, Owner, as its authorized official.

NPPES Registry Identity

NPI1639797483
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBIRCH TRAIL, LLC
Location Address210 PLAZA STLas Vegas, NM 87701-3433
Mailing Address600 Washington StLas Vegas, NM 87701-4235 · (505) 718-2472
Phone(505) 426-7052
Organization SubpartNo
Authorized OfficialMelissa WilliamsonOwner · (505) 718-2472
Enumeration DateJuly 8, 2020
Last NPPES UpdateAugust 1, 20202 updates tracked since enumeration
NPPES CertifiedAugust 1, 2020
✔ NPI 1639797483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
210 PLAZA ST, Las Vegas, NM 87701
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA ANN WILLIAMSON LCSW
Social Worker
210 PLAZA ST
LAS VEGAS, NM 87701
San Miguel County (505) 505-7052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Birch Trail, LLC's NPI number?

The NPI number for Birch Trail, LLC is 1639797483. It was assigned to this organization in the NPPES registry on July 8, 2020.

Where is Birch Trail, LLC located?

Birch Trail, LLC is located at 210 Plaza St, Las Vegas, NM 87701. The listed phone number is (505) 426-7052.

What is Birch Trail, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Birch Trail, LLC was last updated on August 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.