Healthcare Provider Details

I. General information

NPI: 1043880362
Provider Name (Legal Business Name): CARTWRIGHT COUNSELING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1723 7TH ST SE
SAINT CLOUD MN
56304-1355
US

IV. Provider business mailing address

1723 7TH ST SE
SAINT CLOUD MN
56304-1355
US

V. Phone/Fax

Practice location:
  • Phone: 612-324-1642
  • Fax: 612-421-0021
Mailing address:
  • Phone: 612-324-1642
  • Fax: 612-421-0021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE LOUISE CARTWRIGHT-KARLSSON
Title or Position: PRESIDENT
Credential: LICSW
Phone: 702-279-8497