# SHIFT LIMITED LIABILITY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shift Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437749702
- **Authorized official:** JANNA MARIE MASON MS, LPCC, NCC (OWNER, LPCC)
- **Authorized official phone:** (612) 562-6605

## Contact information

- **Practice address:** 12800 WHITEWATER DR STE 100, MINNETONKA, MN 55343-9347
- **Practice address phone:** (612) 562-6605
- **Mailing address:** 12800 WHITEWATER DR STE 100, MINNETONKA, MN 55343-9347
- **Mailing address phone:** (612) 562-6605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |

## Other

- **Enumeration date:** 01/21/2021
- **Last updated:** 11/01/2023