Provider Demographics
NPI:1902581697
Name:LAURA FISCHER CREATIVE COUNSELING, LLC
Entity Type:Organization
Organization Name:LAURA FISCHER CREATIVE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST, BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:763-234-8720
Mailing Address - Street 1:1202 LUJAN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-3218
Mailing Address - Country:US
Mailing Address - Phone:763-234-8720
Mailing Address - Fax:
Practice Address - Street 1:1202 LUJAN ST
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-3218
Practice Address - Country:US
Practice Address - Phone:763-234-8720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)