Inner Canvas Counseling, Pllc

LBN: Inner Canvas Counseling, Pllc
Inner Canvas Counseling, Pllc is an health care organization with primary practice located at 112 University Dr N Ste 300 , Fargo ND 58102-4661. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Inner Canvas Counseling, Pllc can be contacted via phone (701) 866-7960, or through Stielow, Ashley via phone (701) 866-7960.

Contact Information

Primary practice address
112 University Dr N Ste 300 Fargo ND 58102-4661
Phone: (701) 866-7960
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stielow, Ashley LPCC
Phone: (701) 866-7960

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1174011126
LBN Legal business name Inner Canvas Counseling, Pllc
DBA Doing business as
Authorized official Stielow, Ashley LPCC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2018
Last updated Apr 26th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174011126 NPPES
North Dakota MEDICAID PENDING

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