| Institute For Therapy & Behavior Change, Ltd. | |
|
3919 W 44th St Ste 200 Edina MN 55424-1032 | |
| (952) 922-1977 | |
| (952) 922-1980 |
| Full Name | Institute For Therapy & Behavior Change, Ltd. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3919 W 44th St Ste 200, Edina, Minnesota |
| Authorized Official Name and Position | Kathleen Conlon (CO-OWNER) |
| Authorized Official Contact | 9529221977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Therapy & Behavior Change, Ltd. 3919 W 44th St Ste 200 Edina MN 55424-1032 Ph: (952) 922-1977 | Institute For Therapy & Behavior Change, Ltd. 3919 W 44th St Ste 200 Edina MN 55424-1032 Ph: (952) 922-1977 |
| NPI Number | 1548488331 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548488331 | NPI | - | NPPES |
| 07678IN | Other | MN | BLUE SHIELD GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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