| Mind And Body Counseling | |
|
15088 22nd Ave Ne Ste 2 Little Falls MN 56345-3634 | |
| (320) 630-2782 | |
| (888) 892-4587 |
| Full Name | Mind And Body Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 15088 22nd Ave Ne Ste 2, Little Falls, Minnesota |
| Authorized Official Name and Position | Stephanie Locken (OWNER) |
| Authorized Official Contact | 3206302782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Body Counseling 6568 230th St Randall MN 56475-2414 Ph: (320) 630-2782 | Mind And Body Counseling 15088 22nd Ave Ne Ste 2 Little Falls MN 56345-3634 Ph: (320) 630-2782 |
| NPI Number | 1912752403 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 09/09/2025 |
| Certification Date | 09/09/2025 |
| Medicare PECOS PAC ID | 0648706044 |
|---|---|
| Medicare Enrollment ID | O20241209003128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912752403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Stephanie Mackissock |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750855227 PECOS PAC ID: 2466988860 Enrollment ID: I20241209003255 |
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