Healthcare Provider Details

I. General information

NPI: 1851224877
Provider Name (Legal Business Name): FERGUS FALLS COMMUNITY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 E LINCOLN AVE
FERGUS FALLS MN
56537-2217
US

IV. Provider business mailing address

23866 CANTERBURY LN
FERGUS FALLS MN
56537-8113
US

V. Phone/Fax

Practice location:
  • Phone: 218-205-1079
  • Fax: 218-302-9713
Mailing address:
  • Phone: 218-205-1079
  • Fax: 218-302-9713

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: TAMERA SCHWANTES CHURCHILL
Title or Position: PRESIDENT
Credential: LMFT
Phone: 218-205-1079