Provider Demographics
NPI:1245862820
Name:IMPRINTED COUNSELING, PLLC
Entity type:Organization
Organization Name:IMPRINTED COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATEY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LINDELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:612-712-3891
Mailing Address - Street 1:1540 MILLPOND CT
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-1316
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1107 HAZELTINE BLVD STE 471
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-1067
Practice Address - Country:US
Practice Address - Phone:612-712-3891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty