Organization
SPIRITS AT REST LLC
Active
Parent organization
SPIRITS AT REST
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPIRITS AT REST
Authorized official
CARL DALE WHITE LICSW, LADC (CEO)
(507) 577-1415
Entity
Organization
Contact information
Practice address
119 W MAIN ST, LE ROY, MN 55951-6709
(507) 577-1415
Mailing address
119 W MAIN ST, LE ROY, MN 55951-6709
(507) 577-1415
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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