Provider Demographics
NPI:1750267373
Name:HEATHER VAGLE COUNSELING PLLC
Entity type:Organization
Organization Name:HEATHER VAGLE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:VAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:612-242-2685
Mailing Address - Street 1:19480 EATON ST NW
Mailing Address - Street 2:
Mailing Address - City:ELK RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55330-4705
Mailing Address - Country:US
Mailing Address - Phone:612-242-2685
Mailing Address - Fax:
Practice Address - Street 1:8565 COTTONWOOD ST NW STE 100
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-5652
Practice Address - Country:US
Practice Address - Phone:612-242-2685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty