| Pure Therapy, Llc | |
|
1409 Willow St Ste 201 Minneapolis MN 55403-3254 | |
| (612) 562-9021 | |
| (866) 535-8560 |
| Full Name | Pure Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1409 Willow St Ste 201, Minneapolis, Minnesota |
| Authorized Official Name and Position | Kristen Noel Paradise (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6122274597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Therapy, Llc 1409 Willow St Ste 201 Minneapolis MN 55403-3254 Ph: (612) 562-9021 | Pure Therapy, Llc 1409 Willow St Ste 201 Minneapolis MN 55403-3254 Ph: (612) 562-9021 |
| NPI Number | 1124702634 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124702634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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