Healthcare Provider Details

I. General information

NPI: 1053229666
Provider Name (Legal Business Name): LITTLE ORANGE BRIDGE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3312 ROSEDALE ST STE 109
GIG HARBOR WA
98335-1809
US

IV. Provider business mailing address

801 SW LAKE ST
PORT ORCHARD WA
98367-7780
US

V. Phone/Fax

Practice location:
  • Phone: 360-207-1344
  • Fax:
Mailing address:
  • Phone: 360-731-5776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TANA RIDENS
Title or Position: MENTAL HEALTH THERAPIST
Credential: LMHC
Phone: 360-731-5776