Provider Demographics
NPI:1568978682
Name:LAURA D KNOPP, LLC
Entity Type:Organization
Organization Name:LAURA D KNOPP, LLC
Other - Org Name:ABIDING PEACE CHRISTIAN COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:KNOPP
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:952-681-2983
Mailing Address - Street 1:PO BOX 694
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56538-0694
Mailing Address - Country:US
Mailing Address - Phone:952-681-2983
Mailing Address - Fax:952-679-7484
Practice Address - Street 1:5780 LINCOLN DR STE 101
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55436-1652
Practice Address - Country:US
Practice Address - Phone:952-681-2983
Practice Address - Fax:952-679-7484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN133841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1568978682Medicaid
MN1568978682OtherBLUE CROSS BLUE SHIELD MN