Provider Demographics
NPI:1437466240
Name:WHAT IF COUNSELING
Entity Type:Organization
Organization Name:WHAT IF COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOFFAT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:651-278-7607
Mailing Address - Street 1:7900 INTERNATIONAL DR
Mailing Address - Street 2:#287
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1510
Mailing Address - Country:US
Mailing Address - Phone:651-278-7607
Mailing Address - Fax:952-854-8437
Practice Address - Street 1:7900 INTERNATIONAL DR
Practice Address - Street 2:#287
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1510
Practice Address - Country:US
Practice Address - Phone:651-278-7607
Practice Address - Fax:952-854-8437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN17371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1033344031Medicaid