Organization · Type 2 NPI

Ambassadors for Spiritual & Mental Wellness

Addiction (Substance Use Disorder) Counselor · New Ulm, MN

NPI number 1962940338 Active

Practice location

23 Minnesota St S
New Ulm, MN 56073

Call (507) 359-7101 Map

Fax (651) 323-2053

Mailing address

23 Minnesota St. S PO Box 68
New Ulm, MN 56073

Other practice locations

1215 S. Broadway, New Ulm, MN 56073 · (507) 201-4505

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor Primary	101YA0400X	1085116-1-SUDX (MN)
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	21041 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

NPI record

NPI: 1962940338
Entity type: Organization (Type 2)
Issued: Feb 6, 2017
Last updated: Sep 1, 2018
Status: Active

Other names

<unavail>
Recovery 101 Counseling Center · doing business as
Recovery 101 Counseling Center · doing business as

Authorized official

Wade Lynn Lang, LPCC, LADC
Executive Director
(507) 359-7101

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1962940338

Ambassadors for Spiritual & Mental Wellness's National Provider Identifier is 1962940338, issued on Feb 6, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Ulm, MN. The record was last updated on Sep 1, 2018.