Healthcare Provider Details

I. General information

NPI: 1467288928
Provider Name (Legal Business Name): YOU BEGINNING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2024
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 1ST AVENUE SUITE 2
WESTBROOK MN
56183
US

IV. Provider business mailing address

PO BOX 42
STORDEN MN
56174
US

V. Phone/Fax

Practice location:
  • Phone: 712-898-3695
  • Fax:
Mailing address:
  • Phone: 712-898-3695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE RAE CLAUSEN-SWENSON
Title or Position: OWNER/LICENSED PROFESSIONAL
Credential: MA, LMFT, LPCC
Phone: 712-898-3695