| Organization Name: | GREEN BIRD COUNSELING |
| NPI Number: | 1730507518 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMBER LEE CARDINAL (OWNER/THERAPIST) |
| Mailing Address: | 4175 Lovell Rd #107 Circle Pines |
| State: | MN US |
| Postal Code: | 550143500 |
| Phone Number: | 6122676194 |
| Fax Number: | |
| NPI Enumeration Date: | 03/31/2014 |
| NPI Last Update Date: | 05/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPCC 779 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |