Organization
MIDWEST AUTISM & PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MANTY LPCC (OWNER)
(763) 607-7817
Entity
Organization
Contact information
Practice address
12400 PORTLAND AVE, STE 130, BURNSVILLE, MN 55337-4915
(763) 607-7817
Mailing address
227 TOWER AVE, DUNDAS, MN 55019-3989
(763) 607-7817
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
06/26/2023
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