Healthcare Provider Details

I. General information

NPI: 1235068768
Provider Name (Legal Business Name): CASSIDY LYNN HERRINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1262 CEDAR ST
MONTICELLO MN
55362-8913
US

IV. Provider business mailing address

1262 CEDAR ST
MONTICELLO MN
55362-8913
US

V. Phone/Fax

Practice location:
  • Phone: 763-732-3351
  • Fax: 763-322-5026
Mailing address:
  • Phone: 763-732-3351
  • Fax: 763-322-5026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: