| Spirit Of Therapy | |
|
5009 Excelsior Blvd Ste 130 St Louis Park MN 55416-3049 | |
| (763) 257-2348 | |
| (612) 722-1983 |
| Full Name | Spirit Of Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5009 Excelsior Blvd Ste 130, St Louis Park, Minnesota |
| Authorized Official Name and Position | Michelle Lyn Wincell (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 7632572348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Of Therapy 13024 89th Ave N Maple Grove MN 55369-9513 Ph: (763) 257-2348 | Spirit Of Therapy 5009 Excelsior Blvd Ste 130 St Louis Park MN 55416-3049 Ph: (763) 257-2348 |
| NPI Number | 1750589925 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750589925 | NPI | - | NPPES |
| 965524700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12249 (Minnesota) | Primary |
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