Moving Waters Counseling LLC

Primary specialty

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

Legal business name

MOVING WATERS COUNSELING LLC

Practice address

324 W Superior St Ste 1121
Duluth, MN 55802-1704

Phone

(218) 722-1920

Fax

(218) 722-1920

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Dustin Holden, MA, LMFTNPI 1194849935

Title

Owner, LMFT

Phone

(218) 722-1920

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.

• Dustin Holden, LMFT

  • Marriage & Family Therapist
  • Duluth, MN
  • NPI 1194849935
  NPD Authorized official

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1831663483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 1121",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021704",
            "telephone_number": "218-722-1920",
            "fax_number": "218-722-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 1121",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021704",
            "telephone_number": "218-722-1920",
            "fax_number": "218-722-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING WATERS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER, LMFT",
        "authorized_official_telephone_number": "218-722-1920",
        "authorized_official_credential": "MA, LMFT"
    },
    "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": []
}

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• Vani C Movva, MBBS
• Trace Mowers, PMHNP
• MSL-MN Alf Services
• Msocs-Swan Lake
• Jessica Mueller Bouchard, M.A., LPCC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Duluth, MN
• Providers in Duluth, 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 Jan 17, 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.