Organization
AVIVA THERAPY & HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTINE SHAIN MSW LICSW (OWNER)
(609) 610-8343
Entity
Organization
Contact information
Practice address
2637 27TH AVE S STE 244, MINNEAPOLIS, MN 55406-3197
(612) 888-0897
Mailing address
2006 S 6TH ST, MINNEAPOLIS, MN 55454-1335
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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