| Tikvah Counseling Llc | |
|
14024 Royal Ct Minnetonka MN 55345-3928 | |
| (612) 220-1151 | |
| (952) 681-2568 |
| Full Name | Tikvah Counseling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 14024 Royal Ct, Minnetonka, Minnesota |
| Authorized Official Name and Position | Neal Allen Gillett (OWNER) |
| Authorized Official Contact | 6122201151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tikvah Counseling Llc 14024 Royal Ct Minnetonka MN 55345-3928 Ph: (612) 220-1151 | Tikvah Counseling Llc 14024 Royal Ct Minnetonka MN 55345-3928 Ph: (612) 220-1151 |
| NPI Number | 1437419397 |
|---|---|
| Provider Enumeration Date | 05/24/2012 |
| Last Update Date | 05/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437419397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP2348 (Minnesota) | Primary |
| 1041C0700X | Social Worker - Clinical | 8058 (Minnesota) | Secondary |
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