Provider Demographics
NPI:1700572013
Name:HESED COUNSELING SERVICES
Entity Type:Organization
Organization Name:HESED COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:BRUMMUND
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:507-340-8326
Mailing Address - Street 1:307 CRESTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:NORTH MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56003-3510
Mailing Address - Country:US
Mailing Address - Phone:507-340-8326
Mailing Address - Fax:
Practice Address - Street 1:1961 PREMIER DR STE 220
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-6991
Practice Address - Country:US
Practice Address - Phone:507-479-7267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty