Organization
DAKOTA INSTITUTE OF TRAUMA THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNEA JANE RITZ MSW, LICSW (OWNER)
(701) 426-4398
Entity
Organization
Contact information
Practice address
4023 STATE ST, SUITE120, BISMARCK, ND 58503-0690
(701) 751-4447
(701) 751-4471
Mailing address
4023 STATE ST, SUITE120, BISMARCK, ND 58503-0690
(701) 751-4447
(701) 751-4471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2899
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253255
—
NE
01
—
11755287
CAQH
—
05
—
19147
—
ND
01
—
HP 65336
HEALTH PARTNERS
—
Enumeration date
05/14/2012
Last updated
11/11/2013
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