# INTROSPECT MENTAL HEALTH LLC

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

## Provider details

- **NPI number:** 1184273666
- **Authorized official:** SAMANTHA YERKS LICSW LADC (OWNER)
- **Authorized official phone:** (651) 271-8970

## Contact information

- **Practice address:** 4801 HIGHWAY 61 N STE 204, WHITE BEAR LK, MN 55110-2752
- **Practice address phone:** (763) 465-6700
- **Mailing address:** 22130 TYPO CREEK DR NE, WYOMING, MN 55092-4602
- **Mailing address phone:** (651) 271-8970

## Taxonomy

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

## Other

- **Enumeration date:** 09/08/2019
- **Last updated:** 05/15/2024