| Hyperintelligent Stoat Llc | |
|
711 W Lake St Ste 201 Minneapolis MN 55408-3357 | |
| (612) 314-9542 | |
| Not Available |
| Full Name | Hyperintelligent Stoat Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 711 W Lake St Ste 201, Minneapolis, Minnesota |
| Authorized Official Name and Position | Jeong Eun Park (OWNER) |
| Authorized Official Contact | 6123149542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyperintelligent Stoat Llc 4528 Madison St Ne Columbia Heights MN 55421-2363 Ph: () - | Hyperintelligent Stoat Llc 711 W Lake St Ste 201 Minneapolis MN 55408-3357 Ph: (612) 314-9542 |
| NPI Number | 1568267151 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568267151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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