Provider Demographics
NPI:1477213460
Name:NURTURING CONNECTIONS COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:NURTURING CONNECTIONS COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:TEICHROEW
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:608-354-7637
Mailing Address - Street 1:1159 GILMORE AVE
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-2489
Mailing Address - Country:US
Mailing Address - Phone:608-354-7637
Mailing Address - Fax:
Practice Address - Street 1:1159 GILMORE AVE
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-2489
Practice Address - Country:US
Practice Address - Phone:608-354-7637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-18
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty