Organization
PEACETREE FAMILY INSTITUTE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NIKOVICS (OWNER)
(612) 203-0849
Entity
Organization
Contact information
Practice address
10741 185TH CIR NW, ELK RIVER, MN 55330-5032
(612) 203-0849
Mailing address
10741 185TH CIR NW, ELK RIVER, MN 55330-5032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
01/09/2024
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