Organization
CREATE SPACE MEDITATE, LLC
Active
Other names
Create Space Meditate
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SWERIN LPCC (FOUNDER / THERAPIST)
(651) 338-9707
Entity
Organization
Contact information
Practice address
265 LONG LAKE CT, SHOREVIEW, MN 55126-4803
(651) 338-9707
Mailing address
265 LONG LAKE CT, SHOREVIEW, MN 55126-4803
(651) 338-9707
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPCC888MS
CLINICAL THERAPISTMSWERIN
MN
01
—
NPI1437786761
CLINICAL THERAPISTMSWERIN
—
01
—
NPI1760771810
MTM PHARMACISTMAMARO
—
Enumeration date
09/30/2022
Last updated
11/29/2023
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