Industrious Healing LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INDUSTRIOUS HEALING LLC

Practice address

10501 Wayzata Blvd Ste 204
Minnetonka, MN 55305-1519

Phone

(612) 219-7620

NPI assigned

Aug 26, 2019

Last updated

Dec 7, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emily J Laconic, LICSWNPI 1437652518

Title

Owner, Therapist

Phone

(612) 219-7620

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily J Laconic, MSW, LICSW

  • Clinical Social Worker
  • Minnetonka, MN
  • NPI 1437652518
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575676800000",
    "number": "1114575982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 ALDRICH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554303533",
            "telephone_number": "612-219-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 WAYZATA BLVD STE 204",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051519",
            "telephone_number": "612-219-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4908 Aldrich Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554303533",
            "country_code": "US",
            "telephone_number": "612-219-6720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDUSTRIOUS HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-12-07",
        "certification_date": "2019-12-07",
        "status": "A",
        "authorized_official_last_name": "LACONIC",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "612-219-7620",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I M I S Minnesota Inc (Pearle Vision)
• Ian Park DDS PA
• Irene I Ibekwe, NUSE PRACTITIONER
• Alexa Ickert
• Kristina Kay Ihlang, APRN, CNP
• Infectious Disease Consultants PA
• Infinite Health Collaborative, PA (Orthopaedic Consultants, P.A.)
• Deanna Elaine Ingram, FNP
• Injury Care
• Integra Healthcare Equipment of MN LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.