Organization
INTROSPECT MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA YERKS LICSW LADC (OWNER)
(651) 271-8970
Entity
Organization
Contact information
Practice address
4801 HIGHWAY 61 N STE 204, WHITE BEAR LK, MN 55110-2752
(763) 465-6700
Mailing address
22130 TYPO CREEK DR NE, WYOMING, MN 55092-4602
(651) 271-8970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/08/2019
Last updated
05/15/2024
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