Organization
VILLAGE SUPPORT THERAPY AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY EROMOBOR LICSW (OWNER/FOUNDER)
(612) 223-0099
Entity
Organization
Contact information
Practice address
5424 FREMONT AVE N, BROOKLYN CENTER, MN 55430-3160
(612) 223-0099
Mailing address
5424 FREMONT AVE N, BROOKLYN CENTER, MN 55430-3160
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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