Healthcare Provider Details

I. General information

NPI: 1639819188
Provider Name (Legal Business Name): BROOKE HOEBING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HIGHWAY AVE S
BLOOMING PRAIRIE MN
55917
US

IV. Provider business mailing address

56757 300TH ST
AUSTIN MN
55912-6561
US

V. Phone/Fax

Practice location:
  • Phone: 507-269-7127
  • Fax:
Mailing address:
  • Phone: 507-269-7172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC03097
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: