Healthcare Provider Details

I. General information

NPI: 1871294637
Provider Name (Legal Business Name): REFRESHING PERSPECTIVES THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2023
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 WILSON AVE NE STE 104
SAINT CLOUD MN
56304-0406
US

IV. Provider business mailing address

22 WILSON AVE NE STE 104
SAINT CLOUD MN
56304-0406
US

V. Phone/Fax

Practice location:
  • Phone: 320-428-0288
  • Fax: 320-200-0252
Mailing address:
  • Phone: 320-428-0288
  • Fax: 320-200-0252

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 Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SANDRA MARIE KROLL
Title or Position: OWNER
Credential: LICSW
Phone: 773-759-1237