Organization
NORTHEAST PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CODY LEWIS OAKS LPCC (PSYCHOTHERAPIST/OWNER)
(612) 408-5004
Entity
Organization
Contact information
Practice address
1224 2ND ST NE # 200, MINNEAPOLIS, MN 55413-1130
(612) 408-5004
Mailing address
1300 PIERCE TER NE, COLUMBIA HEIGHTS, MN 55421-1845
(612) 408-5004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
03/13/2020
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