# INTERPERSONAL MENTAL HEALTH LLC

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

## Provider details

- **NPI number:** 1376392613
- **Authorized official:** STANLEY F THEIELE LMFT (OWNER)
- **Authorized official phone:** (612) 590-8070

## Contact information

- **Practice address:** 6 E DIAMOND LAKE RD, MINNEAPOLIS, MN 55419-1923
- **Practice address phone:** (612) 590-8070
- **Mailing address:** 6 E DIAMOND LAKE RD, MINNEAPOLIS, MN 55419-1923
- **Mailing address phone:** (612) 590-8070

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2024
- **Last updated:** 05/17/2024
