Organization
BOTH SIDES COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN JAY KAVLIE JD (PRACTICE MANAGER AND PARTNER)
(651) 321-1515
Entity
Organization
Contact information
Practice address
711 W LAKE ST STE 402, MINNEAPOLIS, MN 55408-2954
(651) 321-1515
Mailing address
711 W LAKE ST STE 402, MINNEAPOLIS, MN 55408-2954
(651) 321-1515
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/05/2019
Last updated
05/20/2024
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