Provider Demographics
NPI:1912501776
Name:HEALING MINDS COUNSELING, LLC
Entity Type:Organization
Organization Name:HEALING MINDS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OUTPATIENT THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:LISE
Authorized Official - Last Name:COTE-SANDS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:507-381-8748
Mailing Address - Street 1:PO BOX 631
Mailing Address - Street 2:
Mailing Address - City:LAKE CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:56055-0631
Mailing Address - Country:US
Mailing Address - Phone:507-381-8748
Mailing Address - Fax:
Practice Address - Street 1:100 WARREN ST STE 302
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3762
Practice Address - Country:US
Practice Address - Phone:507-519-2293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)