Healthcare Provider Details

I. General information

NPI: 1063296184
Provider Name (Legal Business Name): COORIE LINTU COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N10841 JUNET RD
IRONWOOD MI
49938-9702
US

IV. Provider business mailing address

N10841 JUNET RD
IRONWOOD MI
49938-9702
US

V. Phone/Fax

Practice location:
  • Phone: 612-429-7437
  • Fax:
Mailing address:
  • Phone: 612-429-7437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. KAREN MICHELE BYRD
Title or Position: PROFESSIONAL CLINICAL COUNSELOR
Credential: MA
Phone: 612-429-7437