| Nurtured Therapy, Llc | |
|
1324 Flag Ave S St Louis Park MN 55426-1822 | |
| (507) 318-9093 | |
| Not Available |
| Full Name | Nurtured Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1324 Flag Ave S, St Louis Park, Minnesota |
| Authorized Official Name and Position | Taryn Elizabeth Ignaszewski (OWNER & THERAPIST) |
| Authorized Official Contact | 5073189093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurtured Therapy, Llc 1324 Flag Ave S St Louis Park MN 55426-1822 Ph: (507) 318-9093 | Nurtured Therapy, Llc 1324 Flag Ave S St Louis Park MN 55426-1822 Ph: (507) 318-9093 |
| NPI Number | 1982304226 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982304226 | NPI | - | NPPES |
| 1508219197 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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