Healthcare Provider Details

I. General information

NPI: 1659936045
Provider Name (Legal Business Name): ALL IN CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2019
Last Update Date: 01/14/2020
Certification Date: 01/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11800 WAYZATA BLVD
MINNETONKA MN
55305-2010
US

IV. Provider business mailing address

12739 WOODCOURT LN
MINNETONKA MN
55343-8677
US

V. Phone/Fax

Practice location:
  • Phone: 651-271-1665
  • Fax:
Mailing address:
  • Phone: 612-355-0122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KYLE ZRENCHIK
Title or Position: CEO
Credential: LMFT
Phone: 651-271-1665