Healthcare Provider Details

I. General information

NPI: 1245573435
Provider Name (Legal Business Name): TOMORROW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2013
Last Update Date: 04/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 4TH AVE S SUITE 154
MOORHEAD MN
56560-2800
US

IV. Provider business mailing address

11680 COUNTY ROAD 1 SW P.O. BOX 128
PILLAGER MN
56473-2449
US

V. Phone/Fax

Practice location:
  • Phone: 218-287-1500
  • Fax:
Mailing address:
  • Phone: 507-720-7775
  • Fax: 218-746-3806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CARMEN MARIE WILSON
Title or Position: CHIEF MANAGER
Credential:
Phone: 507-720-7775