Healthcare Provider Details

I. General information

NPI: 1871311761
Provider Name (Legal Business Name): NATALIE K COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 MEADOWVIEW RD
FORESTON MN
56330-9419
US

IV. Provider business mailing address

218 MEADOWVIEW RD
FORESTON MN
56330-9419
US

V. Phone/Fax

Practice location:
  • Phone: 320-310-9620
  • Fax:
Mailing address:
  • Phone: 320-310-9620
  • 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: NATALIE HAGLE
Title or Position: OWNER/MENTAL HEALTH THERAPIST
Credential:
Phone: 320-200-1103