Organization
BLOOMING MINDS PSYCHOTHERAPY LLC
Active
Other names
Mindy Kue LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY KUE LPC (OWNER)
(920) 977-3111
Entity
Organization
Contact information
Practice address
601 N 5TH ST STE 9, SHEBOYGAN, WI 53081-4623
(920) 977-3111
(920) 482-5662
Mailing address
1432 N 10TH ST, SHEBOYGAN, WI 53081-3332
(920) 912-8628
(920) 482-5662
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780250035
—
WI
Enumeration date
05/27/2021
Last updated
08/12/2021
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