| Heartland Psychotherapy Llc | |
|
825 Nicollet Mall Ste 1443 Minneapolis MN 55402-2703 | |
| (612) 404-0498 | |
| (888) 974-8249 |
| Full Name | Heartland Psychotherapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 825 Nicollet Mall Ste 1443, Minneapolis, Minnesota |
| Authorized Official Name and Position | Ann Laurel Steely (OWNER) |
| Authorized Official Contact | 6124040498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Psychotherapy Llc 825 Nicollet Mall Ste 1443 Minneapolis MN 55402-2703 Ph: (612) 404-0498 | Heartland Psychotherapy Llc 825 Nicollet Mall Ste 1443 Minneapolis MN 55402-2703 Ph: (612) 404-0498 |
| NPI Number | 1649768359 |
|---|---|
| Provider Enumeration Date | 04/27/2018 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649768359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 23463 (Minnesota) | Primary |
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