Healthcare Provider Details

I. General information

NPI: 1245960442
Provider Name (Legal Business Name): NATURALLY CONNECTED COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 10TH ST NE STE 1
MILACA MN
56353-1827
US

IV. Provider business mailing address

425 10TH ST NE STE 1
MILACA MN
56353-1827
US

V. Phone/Fax

Practice location:
  • Phone: 320-402-0115
  • Fax:
Mailing address:
  • Phone: 320-402-0115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: ERIN SIMONSON
Title or Position: OWNER
Credential: MSW, LICSW, LADC
Phone: 320-402-0115