| Transformational Psychotherapy LLC | |
|
249 Water St Rm 201 Excelsior MN 55331-1824 | |
| (612) 710-3874 | |
| Not Available |
| Full Name | Transformational Psychotherapy LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 249 Water St Rm 201, Excelsior, Minnesota |
| Authorized Official Name and Position | Karen Ilvedson (PSYCHOTHERAPIST, OWNER) |
| Authorized Official Contact | 6127103874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformational Psychotherapy LLC 5385 Shady Hills Cir Excelsior MN 55331-9157 Ph: (612) 710-3874 | Transformational Psychotherapy LLC 249 Water St Rm 201 Excelsior MN 55331-1824 Ph: (612) 710-3874 |
| NPI Number | 1114570033 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 07/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114570033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | () | Secondary |
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