Provider Demographics
NPI:1750597639
Name:ONLY HUMAN COUNSELING SERVICES, LLP
Entity type:Organization
Organization Name:ONLY HUMAN COUNSELING SERVICES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:F
Authorized Official - Last Name:DUCKWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, LAC
Authorized Official - Phone:701-476-0497
Mailing Address - Street 1:118 BROADWAY N STE 517
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-4946
Mailing Address - Country:US
Mailing Address - Phone:701-476-0497
Mailing Address - Fax:701-298-7811
Practice Address - Street 1:118 BROADWAY N STE 517
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102-4946
Practice Address - Country:US
Practice Address - Phone:701-476-0497
Practice Address - Fax:701-298-7811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1024101YA0400X
ND1058101YA0400X
ND856104100000X
ND8141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND000014OtherISAPS
ND27627OtherDUCKWITZ BCBS LICSW
ND27627OtherDUCKWITZ BCBS LAC PROVIDE
ND1176OtherLICENSE ADDICTION FACILIT
ND27627OtherDUCKWITZ BCBS LICSW