Provider Demographics
NPI:1023787330
Name:QUALITY LIVING COUNSELING, PC
Entity type:Organization
Organization Name:QUALITY LIVING COUNSELING, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC
Authorized Official - Phone:218-576-5700
Mailing Address - Street 1:4897 MILLER TRUNK HWY STE 217
Mailing Address - Street 2:
Mailing Address - City:HERMANTOWN
Mailing Address - State:MN
Mailing Address - Zip Code:55811-1936
Mailing Address - Country:US
Mailing Address - Phone:218-576-5700
Mailing Address - Fax:218-520-2995
Practice Address - Street 1:4897 MILLER TRUNK HWY STE 217
Practice Address - Street 2:
Practice Address - City:HERMANTOWN
Practice Address - State:MN
Practice Address - Zip Code:55811-1936
Practice Address - Country:US
Practice Address - Phone:218-576-5700
Practice Address - Fax:218-520-2995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty