| Epiphany Family Services | |
|
1201 W Broadway Ave Minneapolis MN 55411-2532 | |
| (612) 302-1463 | |
| Not Available |
| Full Name | Epiphany Family Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1201 W Broadway Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Andrea Langford (OWNER) |
| Authorized Official Contact | 6126162974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Family Services 1201 W Broadway Ave Minneapolis MN 55411-2532 Ph: (612) 302-1463 | Epiphany Family Services 1201 W Broadway Ave Minneapolis MN 55411-2532 Ph: (612) 302-1463 |
| NPI Number | 1184262271 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184262271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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