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Organization
THE HEALING HIDEOUT LLC
Active
Organization
THE HEALING HIDEOUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY CRNOBRNA (OWNER)
(952) 239-1121
Entity
Organization
Contact information
Practice address
4951 77TH ST W # 1, EDINA, MN 55435-4802
(952) 239-1121
Mailing address
4951 77TH ST W # 1, EDINA, MN 55435-4802
(952) 239-1121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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