Organization
MIDWAY FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM MAYER LPCC (OWNER)
(651) 208-1094
Entity
Organization
Contact information
Practice address
2933 VIRGINIA AVE S, ST LOUIS PARK, MN 55426-3035
(612) 242-4132
Mailing address
2933 VIRGINIA AVE S, ST LOUIS PARK, MN 55426-3035
(612) 242-4132
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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