| Authentic Therapeutic Services L.l.c. | |
|
4141 Old Sibley Memorial Hwy Eagan MN 55122-1996 | |
| (612) 244-3330 | |
| Not Available |
| Full Name | Authentic Therapeutic Services L.l.c. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4141 Old Sibley Memorial Hwy, Eagan, Minnesota |
| Authorized Official Name and Position | Caroline Elizabeth Kading (OWNER) |
| Authorized Official Contact | 6122443330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Therapeutic Services L.l.c. 4141 Old Sibley Memorial Hwy Eagan MN 55122-1996 Ph: (612) 244-3330 | Authentic Therapeutic Services L.l.c. 4141 Old Sibley Memorial Hwy Eagan MN 55122-1996 Ph: (612) 244-3330 |
| NPI Number | 1275309791 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275309791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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