| Emberlight Therapy Llc | |
|
2575 Heritage Dr Mendota Heights MN 55120-1737 | |
| (612) 608-9068 | |
| Not Available |
| Full Name | Emberlight Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2575 Heritage Dr, Mendota Heights, Minnesota |
| Authorized Official Name and Position | Nicole Davis (OWNER) |
| Authorized Official Contact | 6126089068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emberlight Therapy Llc 2575 Heritage Dr Mendota Heights MN 55120-1737 Ph: (612) 608-9068 | Emberlight Therapy Llc 2575 Heritage Dr Mendota Heights MN 55120-1737 Ph: (612) 608-9068 |
| NPI Number | 1538038468 |
|---|---|
| Provider Enumeration Date | 10/30/2025 |
| Last Update Date | 10/30/2025 |
| Certification Date | 10/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538038468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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