Provider Demographics
NPI:1255106936
Name:HEART & SOUL COUNSELING, PLLC
Entity type:Organization
Organization Name:HEART & SOUL COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLIE
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:SKJONSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:218-517-5343
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:ROSHOLT
Mailing Address - State:SD
Mailing Address - Zip Code:57260-0151
Mailing Address - Country:US
Mailing Address - Phone:218-517-5343
Mailing Address - Fax:
Practice Address - Street 1:510 ABERCROMBIE STREET
Practice Address - Street 2:
Practice Address - City:ABERCROMBIE
Practice Address - State:ND
Practice Address - Zip Code:58001
Practice Address - Country:US
Practice Address - Phone:218-517-5343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty