# TWIN CITIES PLAY THERAPY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013925312
- **Authorized official:** MR. SHAWN MICHAEL BULGATZ LMFT (OWNER)
- **Authorized official phone:** (651) 452-2305

## Contact information

- **Practice address:** 3440 FEDERAL DR, SUITE 140, EAGAN, MN 55122-3501
- **Practice address phone:** (651) 452-2305
- **Practice address fax:** (651) 452-2796
- **Mailing address:** 3440 FEDERAL DR, SUITE 140, EAGAN, MN 55122-3501
- **Mailing address phone:** (651) 452-2305
- **Mailing address fax:** (651) 452-2796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 05/02/2008