Provider Demographics
NPI:1073323077
Name:LITTLE BIRD COUNSELING
Entity type:Organization
Organization Name:LITTLE BIRD COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAISE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:907-978-3333
Mailing Address - Street 1:2870 WALDHEIM DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-6060
Mailing Address - Country:US
Mailing Address - Phone:907-978-3333
Mailing Address - Fax:
Practice Address - Street 1:626 2ND ST STE 104
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-3466
Practice Address - Country:US
Practice Address - Phone:907-978-3333
Practice Address - Fax:907-885-2024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty