Provider Demographics
NPI:1013577030
Name:NORTHWOODS COUNSELING SERVICES LTD
Entity Type:Organization
Organization Name:NORTHWOODS COUNSELING SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SKON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LICSW
Authorized Official - Phone:218-556-6438
Mailing Address - Street 1:481 MAG SEVEN CT SW STE 3
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601-4474
Mailing Address - Country:US
Mailing Address - Phone:218-444-2821
Mailing Address - Fax:218-333-9445
Practice Address - Street 1:481 MAG SEVEN CT SW STE 3
Practice Address - Street 2:
Practice Address - City:BEMIDJI
Practice Address - State:MN
Practice Address - Zip Code:56601-4474
Practice Address - Country:US
Practice Address - Phone:218-444-2821
Practice Address - Fax:218-333-9445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)