Provider Demographics
NPI:1679815823
Name:DULUTH COUNSELING CENTER
Entity Type:Organization
Organization Name:DULUTH COUNSELING CENTER
Other - Org Name:THE DULUTH COUNSELING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-393-5407
Mailing Address - Street 1:11 E SUPERIOR ST STE 415
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-2007
Mailing Address - Country:US
Mailing Address - Phone:218-249-0595
Mailing Address - Fax:
Practice Address - Street 1:11 E SUPERIOR ST STE 415
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-2007
Practice Address - Country:US
Practice Address - Phone:218-393-5407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health