# MIDWAY COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225588726
- **Authorized official:** TAMMY R. TUCKER MA, LPCC (OWNER)
- **Authorized official phone:** (612) 656-9394

## Contact information

- **Practice address:** 6550 YORK AVE S, SUITE 410, EDINA, MN 55435-2347
- **Practice address phone:** (612) 656-9394
- **Mailing address:** 3441 35TH AVE S, MINNEAPOLIS, MN 55406-2740
- **Mailing address phone:** (612) 656-9394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 00925 | MN | Yes |

## Other

- **Enumeration date:** 10/07/2016
- **Last updated:** 10/07/2016