# ELLISON CENTER

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

## Provider details

- **NPI number:** 1740744242
- **Authorized official:** THERESA J SCHREIFELS MS LMFT IMH-E (THERAPIST)
- **Authorized official phone:** (320) 406-1600

## Contact information

- **Practice address:** 600 25TH AVE S STE 102, SAINT CLOUD, MN 56301-4820
- **Practice address phone:** (320) 406-1600
- **Practice address fax:** (320) 406-1700
- **Mailing address:** 600 25TH AVE S STE 102, SAINT CLOUD, MN 56301-4820
- **Mailing address phone:** (320) 406-1600
- **Mailing address fax:** (320) 406-1700

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2019
- **Last updated:** 11/05/2020