| Center For Women's Group Therapy | |
|
11900 Wayzata Blvd Ste 200 Minnetonka MN 55305-2031 | |
| (612) 701-0066 | |
| (952) 546-1308 |
| Full Name | Center For Women's Group Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11900 Wayzata Blvd, Minnetonka, Minnesota |
| Authorized Official Name and Position | Ilise Katz (GEN PTR) |
| Authorized Official Contact | 6127010066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Women's Group Therapy 3754 Pleasant Ave Ste 205 Minneapolis MN 55409-1279 Ph: (612) 802-1405 | Center For Women's Group Therapy 11900 Wayzata Blvd Ste 200 Minnetonka MN 55305-2031 Ph: (612) 701-0066 |
| NPI Number | 1831576453 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 05/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831576453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC0021 (Minnesota) | Primary |
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