=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588593701
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INNER WORLDS COUNSELING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/14/2026
-----------------------------------------------------
Last Update Date | 05/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 304 S MAIN ST
-----------------------------------------------------
City | VIROQUA
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54665-3000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-610-6686
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 E VERONA AVE # 1108
-----------------------------------------------------
City | VERONA
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53593-1223
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-610-6686
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | HEIDI MCKINLEY
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 319-610-6686
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------