Provider Demographics
NPI:1518678648
Name:LITTLE HOUSE COUNSELING PLLC
Entity Type:Organization
Organization Name:LITTLE HOUSE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST /OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARLYSSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:THORSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:952-836-6789
Mailing Address - Street 1:4818 30TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-1306
Mailing Address - Country:US
Mailing Address - Phone:952-836-6789
Mailing Address - Fax:
Practice Address - Street 1:4822 30TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-1306
Practice Address - Country:US
Practice Address - Phone:952-836-6789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health