Provider Demographics
NPI:1306026315
Name:TALK IT OUT, LLC
Entity Type:Organization
Organization Name:TALK IT OUT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:952-564-6122
Mailing Address - Street 1:1210 ADRIAN DR
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-1582
Mailing Address - Country:US
Mailing Address - Phone:952-564-6122
Mailing Address - Fax:952-513-2029
Practice Address - Street 1:1210 ADRIAN DR
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-1582
Practice Address - Country:US
Practice Address - Phone:952-564-6122
Practice Address - Fax:952-513-2029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN159451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty