WHITE OAK PSYCHOTHERAPY LTD NPI 1669299426

NPI Information

  • NPI: 1669299426
  • Provider Name: WHITE OAK PSYCHOTHERAPY, LTD
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 611 BIELENBERG DR STE 109
    WOODBURY, MN
    ZIP 55125
  • Phone: (651) 764-7023

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NPI Details

WHITE OAK PSYCHOTHERAPY, LTD is an adult mental health clinic center in Woodbury, 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 adults. WHITE OAK PSYCHOTHERAPY, LTD NPI is 1669299426. The provider is registered as an organization entity type.

The provider's business location address is:

611 BIELENBERG DR STE 109
WOODBURY, MN
ZIP 55125-431
Phone: (651) 764-7023
Fax: (612) 666-1612

The provider's authorized official is Bethany Lanis Zelada .
The authorized official title is President and has the following contact phone number (651) 764-7023.

The enumeration date for this NPI number is 9/23/2024 and was last updated on 7/24/2025.

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 HealthYes

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: 11/21/2025

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