# JUDI ROSS HOLISTIC THERAPY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1528451028
- **Authorized official:** JUDITH L ROSS (MS, LMFT, RYT-200)
- **Authorized official phone:** (507) 382-3167

## Contact information

- **Practice address:** 4141 OLD SIBLEY MEMORIAL HIGHWAY, EAGAN, MN 55122
- **Practice address phone:** (612) 314-6012
- **Practice address fax:** (651) 882-6280
- **Mailing address:** 6607 18TH AVE S STE 201, RICHFIELD, MN 55423-2700
- **Mailing address phone:** (612) 314-6012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 2534 | MN | Yes |

## Other

- **Enumeration date:** 03/09/2015
- **Last updated:** 05/12/2016