Organization
AEGIS HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER JEAN LIDHOLM MA, LMFT (OWNER, THERAPIST)
(612) 383-7201
Entity
Organization
Contact information
Practice address
8120 PENN AVE S STE 500H, BLOOMINGTON, MN 55431-1367
(612) 383-7201
Mailing address
8807 PENN GLEN PL, BLOOMINGTON, MN 55431-2066
(612) 383-7201
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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