Provider Demographics
NPI:1922568336
Name:IRON RANGE COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:IRON RANGE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:THRONSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-929-2051
Mailing Address - Street 1:1117 13TH AVE E STE 204
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-1215
Mailing Address - Country:US
Mailing Address - Phone:218-929-2051
Mailing Address - Fax:
Practice Address - Street 1:1711 E 13TH ST STE 204
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-1317
Practice Address - Country:US
Practice Address - Phone:218-929-2051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty