| Blue Thistle Psychotherapy, Llc | |
|
4141 Old Sibley Memorial Hwy Eagan MN 55122-1996 | |
| (612) 578-7916 | |
| Not Available |
| Full Name | Blue Thistle Psychotherapy, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4141 Old Sibley Memorial Hwy, Eagan, Minnesota |
| Authorized Official Name and Position | Josette Wynne (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 6125787916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Thistle Psychotherapy, Llc 11525 River Hills Dr Burnsville MN 55337-3215 Ph: (612) 578-7916 | Blue Thistle Psychotherapy, Llc 4141 Old Sibley Memorial Hwy Eagan MN 55122-1996 Ph: (612) 578-7916 |
| NPI Number | 1760247068 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760247068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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