MEDICARE: NL CONSULTING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LP0826	MN

General Provider Information

NPI Number	:	1356614911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NL CONSULTING, INC.

Provider Business Mailing Address
First Line	:	2712 E MINNEHAHA PKWY
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-3743
Country	:	US
Telephone Number	:	612-282-2750
Fax Number	:

Provider Business Practice Location Address
First Line	:	2712 E MINNEHAHA PKWY
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-3743
Country	:	US
Telephone Number	:	612-282-2750
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GEORGE LINDALL
Credential	:	MEQ LP
Telephone Number	:	612-282-2750

Provider Enumeration Date	:	02/13/2012
Last Update Date	:	02/13/2012

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