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LITTLE BIRD PSC NPI 1447507942


NPI Information

NPI: 1447507942
Provider Name: LITTLE BIRD PSC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
48858 US 71
LAPORTE, MN
ZIP 56461
Phone: (218) 760-9357
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LITTLE BIRD PSC is an adolescent and children mental health clinic center in Laporte, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. LITTLE BIRD PSC NPI is 1447507942. The provider is registered as an organization entity type.

The provider's business location address is:

48858 US 71
LAPORTE, MN
ZIP 56461-879
Phone: (218) 760-9357

The provider's authorized official is Deonne M. Pansch .
The authorized official title is Psychotherapist and has the following contact phone number (218) 760-9357.

The enumeration date for this NPI number is 8/14/2012 and was last updated on 8/14/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental Disabilities19439MINNESOTANo
2261QM0850XClinic/CenterAdult Mental Health19439MINNESOTANo
3261QM0855XClinic/CenterAdolescent and Children Mental Health19439MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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