| Shift Limited Liability Company | |
|
12800 Whitewater Dr Ste 100 Minnetonka MN 55343-9347 | |
| (612) 562-6605 | |
| Not Available |
| Full Name | Shift Limited Liability Company |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12800 Whitewater Dr Ste 100, Minnetonka, Minnesota |
| Authorized Official Name and Position | Janna Marie Mason (OWNER, LPCC) |
| Authorized Official Contact | 6125626605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shift Limited Liability Company 12800 Whitewater Dr Ste 100 Minnetonka MN 55343-9347 Ph: (612) 562-6605 | Shift Limited Liability Company 12800 Whitewater Dr Ste 100 Minnetonka MN 55343-9347 Ph: (612) 562-6605 |
| NPI Number | 1437749702 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437749702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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