| Twin Cities Lighthouse Therapy, Llc | |
|
7362 University Ave Ne Ste 209 Fridley MN 55432-3151 | |
| (763) 260-4984 | |
| Not Available |
| Full Name | Twin Cities Lighthouse Therapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7362 University Ave Ne Ste 209, Fridley, Minnesota |
| Authorized Official Name and Position | Selah Smith (THERAPIST) |
| Authorized Official Contact | 7632604984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Cities Lighthouse Therapy, Llc 1750 Mississippi Blvd Nw Coon Rapids MN 55433-4774 Ph: (918) 408-2687 | Twin Cities Lighthouse Therapy, Llc 7362 University Ave Ne Ste 209 Fridley MN 55432-3151 Ph: (763) 260-4984 |
| NPI Number | 1871290890 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871290890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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