| Turning Leaf Therapy | |
|
2233 Hamline Ave N Ste 411 Roseville MN 55113-5006 | |
| (612) 799-8258 | |
| (651) 330-8718 |
| Full Name | Turning Leaf Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2233 Hamline Ave N Ste 411, Roseville, Minnesota |
| Authorized Official Name and Position | Jennifer M Lake (OWNER) |
| Authorized Official Contact | 6127998258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Turning Leaf Therapy 2233 Hamline Ave N Ste 411 Roseville MN 55113-5006 Ph: (612) 799-8258 | Turning Leaf Therapy 2233 Hamline Ave N Ste 411 Roseville MN 55113-5006 Ph: (612) 799-8258 |
| NPI Number | 1073985610 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 10/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073985610 | NPI | - | NPPES |
| 2425 | Other | MN | LICENSE |
| 1801199302 | Other | MN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2425 (Minnesota) | Primary |
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