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KALLIE TIMM LADC
NPI 1487333175
Counselor - Addiction (Substance Use Disorder) in Saint Cloud, MN

Active since July 12, 2023
1420 W SAINT GERMAIN ST STE, SUITE 104/105, SAINT CLOUD, MN 56301(320) 828-3037 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kallie Timm Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALLIE TIMM LADC (NPI 1487333175) is an individual addiction (substance use disorder) provider in Saint Cloud, Minnesota, licensed in Minnesota (305597) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1487333175
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKALLIE TIMMCredential: LADC
Location Address1420 W SAINT GERMAIN ST STE, SUITE 104/105Saint Cloud, MN 56301-4156
Mailing Address721 2nd Ave NSauk Rapids, MN 56379-1617 · (320) 828-3037
Phone(320) 828-3037
Sole ProprietorYes
Enumeration DateJuly 12, 2023
NPPES CertifiedJuly 10, 2023
✔ NPI 1487333175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 305597
1420 W SAINT GERMAIN ST STE, Saint Cloud, MN 56301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kallie Timm's NPI number?

The NPI number for Kallie Timm is 1487333175. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Where is Kallie Timm located?

Kallie Timm practices at 1420 W Saint Germain St Ste Suite 104/105, Saint Cloud, MN 56301. The listed phone number is (320) 828-3037.

What is Kallie Timm's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kallie Timm was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.