| Organization Name: | BLUE SKIES COUNSELING NETWORK, PLLC |
| NPI Number: | 1073906251 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE C KLINE (OWNER, THERAPIST) |
| Mailing Address: | 234 Radcliff Dr Houghton Lake |
| State: | MI US |
| Postal Code: | 486299134 |
| Phone Number: | 9893904143 |
| Fax Number: | |
| NPI Enumeration Date: | 03/11/2015 |
| NPI Last Update Date: | 03/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401013597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |