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Organization
VIRTA THERAPY COLLECTIVE LLC
Active
Organization
VIRTA THERAPY COLLECTIVE LLC
Active
Other names
Virta Therapy Collective
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN THARALDSON LICSW (OWNER/THERAPIST)
(651) 442-1685
Entity
Organization
Contact information
Practice address
209 SNELLING AVE N, SAINT PAUL, MN 55104-6326
(507) 850-0377
Mailing address
209 SNELLING AVE N, SAINT PAUL, MN 55104-6326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
04/12/2024
Last updated
12/16/2024
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