Provider Demographics
NPI:1982984845
Name:HEART OF THE CITY COUNSELING, INC.
Entity type:Organization
Organization Name:HEART OF THE CITY COUNSELING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:AYDT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:952-808-1400
Mailing Address - Street 1:760 SOUTHCROSS DR W
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-7916
Mailing Address - Country:US
Mailing Address - Phone:950-808-1400
Mailing Address - Fax:952-808-1400
Practice Address - Street 1:760 SOUTHCROSS DR W
Practice Address - Street 2:103
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-7916
Practice Address - Country:US
Practice Address - Phone:952-808-1400
Practice Address - Fax:952-808-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-24
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1228251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health