Organization
EDEN THERAPY CENTER, LLC
Active
Other names
Eden Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ANN LOWE (OWNER)
(952) 807-6516
Entity
Organization
Contact information
Practice address
800 PRAIRIE CENTER DR STE 210, EDEN PRAIRIE, MN 55344-7328
(952) 234-9210
(952) 204-3933
Mailing address
800 PRAIRIE CENTER DR STE 210, EDEN PRAIRIE, MN 55344-7328
(952) 234-9210
(952) 204-3933
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01257
MN
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811349764
NPI
MN
01
—
1861944761
NPI
MN
Enumeration date
03/23/2018
Last updated
01/30/2019
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