Provider Demographics
NPI:1861798241
Name:MINNESOTA MARRIAGE AND FAMILY COUNSELING, LLC
Entity type:Organization
Organization Name:MINNESOTA MARRIAGE AND FAMILY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED THERAPSIT
Authorized Official - Prefix:
Authorized Official - First Name:MIHO
Authorized Official - Middle Name:
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:320-282-1066
Mailing Address - Street 1:606 25TH AVE S
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-4800
Mailing Address - Country:US
Mailing Address - Phone:320-282-1066
Mailing Address - Fax:
Practice Address - Street 1:606 25TH AVE S
Practice Address - Street 2:SUITE 208
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-4800
Practice Address - Country:US
Practice Address - Phone:320-282-1066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health