THREE DIRTY BIRDS LLC


Address: 805 Lorraine Dr, Springfield, PA 19064-1004
Phone: 6105434048

THREE DIRTY BIRDS LLC (NPI# 1356986319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356986319
Entity Type Organization
Organization Name THREE DIRTY BIRDS LLC
Practice Address 805 Lorraine Dr
Springfield
PA 19064-1004
Mailing Address Po Box 330
Swarthmore
PA 19081-0330
Practice Telephone 6105434048
Mailing Telephone 6105434048
Enumeration Date 2019-11-14
Last Update Date 2019-11-14
Authorized Official Name MR. PETER J. BENDIG JR. (PARTNER OWNER)
Authorized Official Telephone 6105434048
Authorized Official Credential PHD/ABD, LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Crestview Farms Counseling Doing Business As Name - Organization

Office Location

Street Address 805 LORRAINE DR
City SPRINGFIELD
State PA
Zip Code 19064-1004

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1992348916 Tiffany Looney Counselor 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 2019-10-22
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Competitor

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City SPRINGFIELD
Zip Code 19064

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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