Healthcare Provider Details

I. General information

NPI: 1427969245
Provider Name (Legal Business Name): BLUEBIRD COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 W MAIN ST
FREEHOLD NJ
07728-2133
US

IV. Provider business mailing address

70 VICTOR AVE
WEST LONG BRANCH NJ
07764-1439
US

V. Phone/Fax

Practice location:
  • Phone: 908-309-1720
  • Fax:
Mailing address:
  • Phone: 908-309-1720
  • 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: LAURA BETH CHRISTOPHER
Title or Position: OWNER
Credential: LPC
Phone: 908-309-1720