Organization
FREE BIRD COUNSELING AND CONSULTATION LLC
Active
Organization
FREE BIRD COUNSELING AND CONSULTATION LLC
Active
Other names
Free Bird Counseling and Consultation, Free Bird Counseling and Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN J BOLLINGER-BROWN MSSW, LICSW (OWNER/PSYCHOLOGY)
(651) 206-8955
Entity
Organization
Contact information
Practice address
1684 SELBY AVE, SAINT PAUL, MN 55104-6149
(651) 206-8955
Mailing address
1684 SELBY AVENUE, ST PAUL, MN 55104-6149
(651) 206-8955
(651) 389-9397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265500755
INDIVIDUAL NPI
MN
05
—
165172200
—
MN
Enumeration date
09/18/2014
Last updated
04/04/2025
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