Provider Demographics
NPI:1972217636
Name:NORTH COUNSELING, LLC
Entity Type:Organization
Organization Name:NORTH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LACY
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:507-227-4858
Mailing Address - Street 1:20335 STATE HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-7901
Mailing Address - Country:US
Mailing Address - Phone:507-227-4858
Mailing Address - Fax:
Practice Address - Street 1:100 WARREN ST STE 345
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3762
Practice Address - Country:US
Practice Address - Phone:507-227-4858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty