# METANOIA THERAPY, PLLC

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

## Provider details

- **NPI number:** 1063050615
- **Authorized official:** NATIA WILCEK (OWNER / THERAPIST)
- **Authorized official phone:** (612) 467-9212

## Contact information

- **Practice address:** 1044 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-6346
- **Practice address phone:** (612) 467-9212
- **Mailing address:** 1044 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-6346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2019
- **Last updated:** 02/02/2024