Provider Demographics
NPI:1710147038
Name:ACCEPTANCE COUNSELING & RECOVERY, INC.
Entity Type:Organization
Organization Name:ACCEPTANCE COUNSELING & RECOVERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRUDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:952-220-3200
Mailing Address - Street 1:1761 SUMACH LN
Mailing Address - Street 2:
Mailing Address - City:MOUND
Mailing Address - State:MN
Mailing Address - Zip Code:55364-1242
Mailing Address - Country:US
Mailing Address - Phone:952-220-3200
Mailing Address - Fax:952-472-8161
Practice Address - Street 1:217 MINNETONKA AVE S
Practice Address - Street 2:STE B
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-1703
Practice Address - Country:US
Practice Address - Phone:952-220-3200
Practice Address - Fax:952-472-8161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1777641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4C107Medicare UPIN