Healthcare Provider Details

I. General information

NPI: 1609448794
Provider Name (Legal Business Name): THE LISTENING CO. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2021
Last Update Date: 05/05/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 MAIN STREET EAST
EAGLE BEND MN
56446
US

IV. Provider business mailing address

PO BOX 54
EAGLE BEND MN
56446-0054
US

V. Phone/Fax

Practice location:
  • Phone: 320-219-1689
  • Fax:
Mailing address:
  • Phone: 320-219-1689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KAYLYN AHRENDT
Title or Position: LICSW, OWNER
Credential: MSW, LICSW
Phone: 320-219-1689