MEDICARE: ATLAST MENTAL HEALTH COUNSELING

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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1750959698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLAST MENTAL HEALTH COUNSELING

Provider Business Mailing Address
First Line	:	678 90TH AVE
Second Line	:
City	:	LUVERNE
State	:	MN
Zip	:	56156-4184
Country	:	US
Telephone Number	:	605-360-5690
Fax Number	:

Provider Business Practice Location Address
First Line	:	678 90TH AVE
Second Line	:
City	:	LUVERNE
State	:	MN
Zip	:	56156-4184
Country	:	US
Telephone Number	:	605-360-5690
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST/OWNER
Name	:	LORI ANN WINTER
Credential	:	MALP
Telephone Number	:	605-360-5690

Provider Enumeration Date	:	06/16/2021
Last Update Date	:	01/12/2026

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