Healthcare Provider Details

I. General information

NPI: 1053243824
Provider Name (Legal Business Name): CURVEBALL COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18601 63RD PL N
MAPLE GROVE MN
55311-4228
US

IV. Provider business mailing address

18601 63RD PL N
MAPLE GROVE MN
55311-4228
US

V. Phone/Fax

Practice location:
  • Phone: 612-246-4942
  • Fax:
Mailing address:
  • Phone: 612-246-4942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KRISANN TALARICO
Title or Position: OWNER
Credential: LICSW, OSW-C
Phone: 612-246-4942