| Therapist Cooperative Practice Pllc | |
|
1420 London Rd Ste 204 Duluth MN 55805-2422 | |
| (612) 554-4843 | |
| Not Available |
| Full Name | Therapist Cooperative Practice Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1420 London Rd Ste 204, Duluth, Minnesota |
| Authorized Official Name and Position | Ryan Wells Meyer (PRIMARY OWNER) |
| Authorized Official Contact | 6125544843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapist Cooperative Practice Pllc 3301 E 1st St Duluth MN 55804-1802 Ph: (612) 554-4843 | Therapist Cooperative Practice Pllc 1420 London Rd Ste 204 Duluth MN 55805-2422 Ph: (612) 554-4843 |
| NPI Number | 1447068697 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 01/11/2025 |
| Certification Date | 01/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447068697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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