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Organization
THERAPLACE LLC
Active
Organization
THERAPLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA O'BRIEN (OWNER)
(651) 775-9804
Entity
Organization
Contact information
Practice address
6448 MAIN ST STE 15, NORTH BRANCH, MN 55056-7068
(651) 775-9804
Mailing address
PO BOX 547, 6448 MAIN STREET, SUITE 15, NORTH BRANCH, MN 55056-0547
(651) 775-9804
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT2935
MN
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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