Provider Demographics
NPI:1437781515
Name:AUTONOMY COUNSELING, PLLC
Entity type:Organization
Organization Name:AUTONOMY COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WERNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:360-850-8588
Mailing Address - Street 1:800 HOLIDAY DR STE 170
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-4400
Mailing Address - Country:US
Mailing Address - Phone:218-979-3828
Mailing Address - Fax:
Practice Address - Street 1:800 HOLIDAY DR STE 170
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-4400
Practice Address - Country:US
Practice Address - Phone:218-979-3828
Practice Address - Fax:218-231-8914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty