# MELISSA PATTERSON THERAPY PLLC (BOULEVARD THERAPY)

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BLVD Therapy, Boulevard Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144999087
- **Authorized official:** MELISSA PATTERSON LPCC, LADC (COUNSELOR)
- **Authorized official phone:** (612) 819-4278

## Contact information

- **Practice address:** 317 WAYZATA BLVD E, WAYZATA, MN 55391-1683
- **Practice address phone:** (612) 819-4278
- **Mailing address:** 317 WAYZATA BLVD E, WAYZATA, MN 55391-1683
- **Mailing address phone:** (612) 819-4278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2021
- **Last updated:** 10/06/2021