| White Oak Psychotherapy, Ltd | |
|
611 Bielenberg Dr Ste 109 Woodbury MN 55125-1431 | |
| (651) 764-7023 | |
| (612) 666-1612 |
| Full Name | White Oak Psychotherapy, Ltd |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 611 Bielenberg Dr Ste 109, Woodbury, Minnesota |
| Authorized Official Name and Position | Bethany Lanis Zelada (PRESIDENT) |
| Authorized Official Contact | 6517647023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Oak Psychotherapy, Ltd 611 Bielenberg Dr Ste 109 Woodbury MN 55125-1431 Ph: (651) 764-7023 | White Oak Psychotherapy, Ltd 611 Bielenberg Dr Ste 109 Woodbury MN 55125-1431 Ph: (651) 764-7023 |
| NPI Number | 1669299426 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 07/24/2025 |
| Certification Date | 07/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669299426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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