Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Healing Hideout LLC

Organization Mental Health Counselor · NPI 1922824879

The Healing Hideout LLC is a Mental Health Counselor in Edina, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4951 77th St W # 1
Edina, MN 55435-4802
Phone: (952) 239-1121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1922824879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Crnobrna — Owner · (952) 239-1121
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 21, 2024
Mailing address4951 77th St W # 1, Edina, MN 55435-4802

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