MEDICARE: THREE LITTLE BIRDS COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1023979853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE LITTLE BIRDS COUNSELING PLLC

Provider Business Mailing Address
First Line	:	1505 HIDDEN CV
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-1417
Country	:	US
Telephone Number	:	757-287-1365
Fax Number	:

Provider Business Practice Location Address
First Line	:	2106 GREAT NECK SQ
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2202
Country	:	US
Telephone Number	:	757-287-1365
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIMBERLY POPPEN MCCLERNON
Credential	:
Telephone Number	:	757-287-1365

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	11/20/2025

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