# CULTIVATE COUNSELING AND WELLNESS

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

## Provider details

- **NPI number:** 1447713672
- **Authorized official:** JANELLE ZIMMERMAN LPCC (OWNER/THERAPIST)
- **Authorized official phone:** (612) 849-5665

## Contact information

- **Practice address:** 615 1ST AVE NE STE 405, MINNEAPOLIS, MN 55413-2447
- **Practice address phone:** (612) 849-5665
- **Mailing address:** 1212 MAIN ST NE APT 237, MINNEAPOLIS, MN 55413-1398
- **Mailing address phone:** (612) 849-5665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 04/14/2019
- **Last updated:** 04/14/2019