Midway Counseling Services LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MIDWAY COUNSELING SERVICES LLC

Practice address

1410 9TH Ave S Apt 306
Saint Cloud, MN 56301-5787

Phone

(612) 481-9981

Fax

(320) 416-3060

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Azad Qorane

Title

President

Phone

(612) 481-9981

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1568079374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 9TH AVE S APT 306",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015787",
            "telephone_number": "612-481-9981",
            "fax_number": "320-416-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 9TH AVE S APT 306",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015787",
            "telephone_number": "612-481-9981",
            "fax_number": "320-416-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "QORANE",
        "authorized_official_first_name": "AZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-481-9981"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Adolescent and Children Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.