Healthcare Provider Details

I. General information

NPI: 1407509557
Provider Name (Legal Business Name): TWO OWLS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2022
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3639 CASS RD # 3
TRAVERSE CITY MI
49684-9102
US

IV. Provider business mailing address

PO BOX 21150
BOULDER CO
80308-4150
US

V. Phone/Fax

Practice location:
  • Phone: 970-402-3135
  • Fax:
Mailing address:
  • Phone: 970-402-3135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH ANN COYOTE
Title or Position: SOLE MEMBER, OWNER
Credential: MA,LPC,NCC
Phone: 970-402-3135