Healthcare Provider Details

I. General information

NPI: 1316794589
Provider Name (Legal Business Name): BERG COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2024
Last Update Date: 10/25/2025
Certification Date: 10/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 60TH AVE NE
WILLMAR MN
56201-9140
US

IV. Provider business mailing address

2120 60TH AVE NE
WILLMAR MN
56201-9140
US

V. Phone/Fax

Practice location:
  • Phone: 320-979-0543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY BERG
Title or Position: OWNER
Credential: LMFT
Phone: 320-979-0543