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PARKDALE THERAPY GROUP LLC NPI 1275723777


NPI Information

NPI: 1275723777
Provider Name: PARKDALE THERAPY GROUP, LLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
1000 SHELARD PKWY STE 520
ST LOUIS PARK, MN
ZIP 55426
Phone: (952) 224-0399
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PARKDALE THERAPY GROUP, LLC is a marriage family therapist in St Louis Park, MN. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. PARKDALE THERAPY GROUP, LLC NPI is 1275723777. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1000 SHELARD PKWY STE 520
ST LOUIS PARK, MN
ZIP 55426-053
Phone: (952) 224-0399
Fax: (952) 224-0396

The provider's authorized official is John Lamont Jankord .
The authorized official title is Ceo and has the following contact phone number (952) 224-0399.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 8/3/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)301574MINNESOTANo
2101YP2500XCounselorProfessional00054MINNESOTANo
3103TP0016XPsychologistPrescribing (Medical)27774MINNESOTANo
4106H00000XMarriage & Family Therapist1023MINNESOTANo
5106H00000XMarriage & Family Therapist1044MINNESOTAYes

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: 4/28/2024

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