Organization
THE HEALING NEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MADDEN KINZER LPCC (THERAPIST/OWNER)
(320) 204-2980
Entity
Organization
Contact information
Practice address
110 2ND ST S STE 227, WAITE PARK, MN 56387-1312
(320) 204-2980
Mailing address
11 FAIRFIELD LN, SAINT CLOUD, MN 56303-0910
(320) 282-1714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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