# REGROUP COUNSELING AND CONSULTING PSC

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

## Provider details

- **NPI number:** 1194298026
- **Authorized official:** TIA M DVORAK LMFT (OWNER THERAPIST)
- **Authorized official phone:** (763) 350-9687

## Contact information

- **Practice address:** 18336 JOPLIN ST NW, ELK RIVER, MN 55330-1773
- **Practice address phone:** (763) 350-9687
- **Practice address fax:** (651) 447-5394
- **Mailing address:** 586 DODGE AVE NW STE B, ELK RIVER, MN 55330-1913
- **Mailing address phone:** (763) 350-9687
- **Mailing address fax:** (651) 447-5394

## Taxonomy

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

## Other

- **Enumeration date:** 01/03/2019
- **Last updated:** 02/25/2025