Healthcare Provider Details

I. General information

NPI: 1780514737
Provider Name (Legal Business Name): ALORA WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 GREELEY ST S STE 102
STILLWATER MN
55082-6000
US

IV. Provider business mailing address

1675 GREELEY ST S STE 102
STILLWATER MN
55082-6000
US

V. Phone/Fax

Practice location:
  • Phone: 651-235-0964
  • Fax: 651-342-1868
Mailing address:
  • Phone: 651-235-0964
  • Fax: 651-342-1868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DEBRA SUE CHMIELESKI
Title or Position: CEO
Credential:
Phone: 651-235-0964