| Therapeutic Connections | |
|
4255 Pheasant Ridge Dr Ne 412 Blaine MN 55449-4537 | |
| (763) 317-6222 | |
| (763) 307-3835 |
| Full Name | Therapeutic Connections |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4255 Pheasant Ridge Dr Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Ashley Rose Krantz (CEO) |
| Authorized Official Contact | 6515281816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Connections 5865 311th St Stacy MN 55079-9252 Ph: (651) 528-1816 | Therapeutic Connections 4255 Pheasant Ridge Dr Ne 412 Blaine MN 55449-4537 Ph: (763) 317-6222 |
| NPI Number | 1174974653 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 06/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174974653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CC01240 (Minnesota) | Primary |
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