Organization
EMERALD THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACEY LEE CHRISTIAN MSW, LICSW, PMH-C (OWNER, PSYCHOTHERAPIST)
(507) 404-0260
Entity
Organization
Contact information
Practice address
7400 LYNDALE AVE S STE 180, RICHFIELD, MN 55423-4142
(651) 504-4297
Mailing address
7239 FALMOUTH CURV, SHAKOPEE, MN 55379-7044
(507) 404-0260
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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