Provider Demographics
NPI:1477119881
Name:EIRO COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:EIRO COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAROLYN
Authorized Official - Middle Name:DILLER
Authorized Official - Last Name:MENGERSHAUSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:952-835-5088
Mailing Address - Street 1:760 SOUTHCROSS DR W STE 103
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-7916
Mailing Address - Country:US
Mailing Address - Phone:952-835-5088
Mailing Address - Fax:952-835-5088
Practice Address - Street 1:760 SOUTHCROSS DR W STE 103
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-7916
Practice Address - Country:US
Practice Address - Phone:952-835-5088
Practice Address - Fax:952-835-5088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health