Provider Demographics
NPI:1346993086
Name:STEPHANIE CUMMINS MENTAL HEALTH COUNSELING PLLC
Entity Type:Organization
Organization Name:STEPHANIE CUMMINS MENTAL HEALTH COUNSELING PLLC
Other - Org Name:THE EMPTY CHAIR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:CUMMINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LPCC
Authorized Official - Phone:701-535-0289
Mailing Address - Street 1:805 16TH ST NW
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-1916
Mailing Address - Country:US
Mailing Address - Phone:701-535-0289
Mailing Address - Fax:
Practice Address - Street 1:1821 BURDICK EXPY W STE D
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-5667
Practice Address - Country:US
Practice Address - Phone:701-535-0289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty