Provider Demographics
NPI:1437747375
Name:CONSCIOUS LIVING COUNSELING PLLC
Entity Type:Organization
Organization Name:CONSCIOUS LIVING COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENSEN SCHEURER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:701-478-7199
Mailing Address - Street 1:3239 OAK RIDGE LOOP E
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-8482
Mailing Address - Country:US
Mailing Address - Phone:701-478-7199
Mailing Address - Fax:701-478-1763
Practice Address - Street 1:3239 OAK RIDGE LOOP E
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-8482
Practice Address - Country:US
Practice Address - Phone:701-478-7199
Practice Address - Fax:701-478-1763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty