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TC THERAPY LLC NPI 1073985610


NPI Information

NPI: 1073985610
Provider Name: TC THERAPY LLC

Doing Business As: TURNING LEAF THERAPY

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2233 HAMLINE AVE N STE 411
ROSEVILLE, MN
ZIP 55113
Phone: (612) 799-8258
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TC THERAPY LLC is a mental health (including community mental health center) clinic center in Roseville, MN. TC THERAPY LLC NPI is 1073985610. The provider is registered as an organization entity type.
The provider Is Doing Business As Turning Leaf Therapy.

The provider's business location address is:

2233 HAMLINE AVE N STE 411
ROSEVILLE, MN
ZIP 55113-006
Phone: (612) 799-8258
Fax: (651) 330-8718

The provider's authorized official is Jennifer M Lake .
The authorized official title is Owner and has the following contact phone number (612) 799-8258.

The enumeration date for this NPI number is 10/22/2015 and was last updated on 10/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)2425MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11801199302OTHERMINNESOTANPI
22425OTHERMINNESOTALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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