Provider Demographics
NPI:1467607085
Name:COUNSELING RESOURCES OF CENTRAL MINNESOTA, P.A.
Entity Type:Organization
Organization Name:COUNSELING RESOURCES OF CENTRAL MINNESOTA, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MEISINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:320-271-5790
Mailing Address - Street 1:100 2ND AVE S
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAUK RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:56379-1476
Mailing Address - Country:US
Mailing Address - Phone:320-217-5790
Mailing Address - Fax:320-217-5923
Practice Address - Street 1:100 2ND AVE S
Practice Address - Street 2:SUITE 202
Practice Address - City:SAUK RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:56379-1476
Practice Address - Country:US
Practice Address - Phone:320-217-5790
Practice Address - Fax:320-217-5923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN13586251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health