| The Couples Therapy Clinic, Llc | |
|
1025 Portland Ave Room 301 Minneapolis MN 55404-1449 | |
| (612) 355-0122 | |
| Not Available |
| Full Name | The Couples Therapy Clinic, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1025 Portland Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Kyle Zrenchik (MEMBER) |
| Authorized Official Contact | 6123550122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Couples Therapy Clinic, Llc 1901 E Hennepin Ave 105 Minneapolis MN 55413-2277 Ph: (503) 706-3990 | The Couples Therapy Clinic, Llc 1025 Portland Ave Room 301 Minneapolis MN 55404-1449 Ph: (612) 355-0122 |
| NPI Number | 1972993939 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972993939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2688 (Minnesota) | Primary |
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