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SOUTH METRO THERAPY LLC NPI 1144691411


NPI Information

NPI: 1144691411
Provider Name: SOUTH METRO THERAPY LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
9202 202ND ST W STE 201
LAKEVILLE, MN
ZIP 55044
Phone: (952) 567-3399
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SOUTH METRO THERAPY LLC is an adolescent and children mental health clinic center in Lakeville, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. SOUTH METRO THERAPY LLC NPI is 1144691411. The provider is registered as an organization entity type.

The provider's business location address is:

9202 202ND ST W STE 201
LAKEVILLE, MN
ZIP 55044-917
Phone: (952) 567-3399

The provider's authorized official is Nergis Petersen .
The authorized official title is Therapist and has the following contact phone number (952) 567-3399.

The enumeration date for this NPI number is 10/13/2015 and was last updated on 10/13/2015.


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
1261QM0850XClinic/CenterAdult Mental HealthCC00807MINNESOTANo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthCC00807MINNESOTAYes

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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