| Bluebird Counseling, Llc | |
|
475 Cleveland Ave N Ste 205 Saint Paul MN 55104-5053 | |
| (218) 370-7978 | |
| Not Available |
| Full Name | Bluebird Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 475 Cleveland Ave N Ste 205, Saint Paul, Minnesota |
| Authorized Official Name and Position | Roberta Sorenson (OWNER) |
| Authorized Official Contact | 2183707978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebird Counseling, Llc 475 Cleveland Ave N Ste 205 Saint Paul MN 55104-5053 Ph: () - | Bluebird Counseling, Llc 475 Cleveland Ave N Ste 205 Saint Paul MN 55104-5053 Ph: (218) 370-7978 |
| NPI Number | 1215704820 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Medicare PECOS PAC ID | 2769833169 |
|---|---|
| Medicare Enrollment ID | O20240110002688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215704820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Roberta Sorenson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548624026 PECOS PAC ID: 7719338110 Enrollment ID: I20240209000779 |
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