Healthcare Provider Details

I. General information

NPI: 1821615147
Provider Name (Legal Business Name): FLICK CONSULTATION GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2020
Last Update Date: 10/04/2025
Certification Date: 10/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 3RD AVE SE STE 201
ROCHESTER MN
55904-4632
US

IV. Provider business mailing address

PO BOX 366
PINE ISLAND MN
55963-0366
US

V. Phone/Fax

Practice location:
  • Phone: 507-216-3750
  • Fax: 507-776-5036
Mailing address:
  • Phone: 507-216-3750
  • Fax: 507-776-5036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRIAN KENNETH FLICK
Title or Position: OWNER
Credential: MSW, LICSW
Phone: 507-216-3750