Provider Demographics
NPI:1851013064
Name:HEALING FREEDOM COUNSELING PLLC
Entity Type:Organization
Organization Name:HEALING FREEDOM COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HIEDI
Authorized Official - Middle Name:A
Authorized Official - Last Name:FOLSTAD MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:712-720-7612
Mailing Address - Street 1:3615 BURDICK EXPY E
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-5336
Mailing Address - Country:US
Mailing Address - Phone:701-720-7612
Mailing Address - Fax:
Practice Address - Street 1:3615 BURDICK EXPY E
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-5336
Practice Address - Country:US
Practice Address - Phone:701-720-7612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND3653OtherND STATE LICENSE