Provider Demographics
NPI:1568912459
Name:IN THE MOMENT COUNSELING AND CONSULTING, LLC.
Entity Type:Organization
Organization Name:IN THE MOMENT COUNSELING AND CONSULTING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:507-895-2600
Mailing Address - Street 1:33 S WALNUT ST STE 110
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENT
Mailing Address - State:MN
Mailing Address - Zip Code:55947-1319
Mailing Address - Country:US
Mailing Address - Phone:507-895-2600
Mailing Address - Fax:
Practice Address - Street 1:33 S WALNUT ST STE 110
Practice Address - Street 2:
Practice Address - City:LA CRESCENT
Practice Address - State:MN
Practice Address - Zip Code:55947-1319
Practice Address - Country:US
Practice Address - Phone:507-895-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN22382251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health