Provider Demographics
NPI:1679326466
Name:THREE LITTLE BIRDS COUNSELING, LLC
Entity Type:Organization
Organization Name:THREE LITTLE BIRDS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MIRANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:906-387-8522
Mailing Address - Street 1:N2776 SLEEPING BEAR DR
Mailing Address - Street 2:
Mailing Address - City:MUNISING
Mailing Address - State:MI
Mailing Address - Zip Code:49862-8874
Mailing Address - Country:US
Mailing Address - Phone:906-387-8255
Mailing Address - Fax:906-368-4354
Practice Address - Street 1:202 ELM AVE STE 1
Practice Address - Street 2:
Practice Address - City:MUNISING
Practice Address - State:MI
Practice Address - Zip Code:49862-1108
Practice Address - Country:US
Practice Address - Phone:906-387-8255
Practice Address - Fax:906-368-4354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty