# PROFESSIONAL RECOVERY ORGANIZATION NETWORK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRO NETWORK
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740938778
- **Authorized official:** MS. MELINDA RAE COSCARELLI PHD (OWNER)
- **Authorized official phone:** (507) 951-9980

## Contact information

- **Practice address:** 1687 WOODLANE DR STE 208, WOODBURY, MN 55125-3047
- **Practice address phone:** (507) 951-9980
- **Mailing address:** 47842 BLUE HERON TRL, RUSH CITY, MN 55069-2803
- **Mailing address phone:** (507) 951-9980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/17/2022
- **Last updated:** 03/20/2022