Provider Demographics
NPI:1245840735
Name:KALINA COUNSELING SERVICES, LLC.
Entity type:Organization
Organization Name:KALINA COUNSELING SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KALINA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT, LPCC, LMHC
Authorized Official - Phone:651-341-0581
Mailing Address - Street 1:PO BOX 143
Mailing Address - Street 2:
Mailing Address - City:KNIFE RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55609-0143
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:120 7TH ST UNIT 101
Practice Address - Street 2:
Practice Address - City:TWO HARBORS
Practice Address - State:MN
Practice Address - Zip Code:55616-1563
Practice Address - Country:US
Practice Address - Phone:218-595-7997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-09
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)