Provider Demographics
NPI:1932912300
Name:ADVENTURES WITHIN LLC
Entity type:Organization
Organization Name:ADVENTURES WITHIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:WHITEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:218-251-3647
Mailing Address - Street 1:16248 BIRCHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BRAINERD
Mailing Address - State:MN
Mailing Address - Zip Code:56401-6183
Mailing Address - Country:US
Mailing Address - Phone:218-251-3647
Mailing Address - Fax:218-524-3445
Practice Address - Street 1:315 E RIVER RD STE 205
Practice Address - Street 2:
Practice Address - City:BRAINERD
Practice Address - State:MN
Practice Address - Zip Code:56401-3515
Practice Address - Country:US
Practice Address - Phone:218-270-9525
Practice Address - Fax:218-524-3445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty