Healthcare Provider Details

I. General information

NPI: 1205175916
Provider Name (Legal Business Name): MARY LOU KAY HAUSLADEN LPC, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2013
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20288 HIGHWAY 15 N SUITE 100
HUTCHINSON MN
55350-5684
US

IV. Provider business mailing address

1423 212TH ST
LESTER PRAIRIE MN
55354-6314
US

V. Phone/Fax

Practice location:
  • Phone: 320-587-2326
  • Fax: 320-234-6358
Mailing address:
  • Phone: 320-282-5460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number303497
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number942
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: