Provider Demographics
NPI:1477250488
Name:AGAINST THE GRAIN LLC
Entity Type:Organization
Organization Name:AGAINST THE GRAIN LLC
Other - Org Name:ALIGN YOUR SOUL COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THU-HA
Authorized Official - Middle Name:THI
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:507-218-5913
Mailing Address - Street 1:300 3RD AVE SE STE 302
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-4681
Mailing Address - Country:US
Mailing Address - Phone:507-218-5913
Mailing Address - Fax:507-353-0566
Practice Address - Street 1:300 3RD AVE SE STE 302
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-4681
Practice Address - Country:US
Practice Address - Phone:507-218-5913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1073915898Medicaid