# IDEAWELL LLC

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

## Provider details

- **NPI number:** 1598592859
- **Authorized official:** JAMES PINSON (OWNER, LMFT)
- **Authorized official phone:** (763) 200-4321

## Contact information

- **Practice address:** 3106 164TH AVE NW, ANDOVER, MN 55304-2416
- **Practice address phone:** (763) 200-4321
- **Mailing address:** PO BOX 92, ANDOVER, MN 55304-0010

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2024
- **Last updated:** 09/19/2024