Organization
INDUSTRIOUS HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY J LACONIC LICSW (OWNER, THERAPIST)
(612) 219-7620
Entity
Organization
Contact information
Practice address
10501 WAYZATA BLVD STE 204, MINNETONKA, MN 55305-1519
(612) 219-7620
Mailing address
4908 ALDRICH AVE N, MINNEAPOLIS, MN 55430-3533
(612) 219-7620
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
12/07/2019
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