Organization
BABYLOVE ALLIANCE LTD.
Active
Other names
The BabyLove Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL CLANCY M.A. LMFT (EXECUTIVE DIR OF CLINICAL PRACTICE)
(612) 548-4266
Entity
Organization
Contact information
Practice address
4590 SCOTT TRL, STE 102, EAGAN, MN 55122-3331
(651) 200-3343
Mailing address
4590 SCOTT TRL, STE 102, EAGAN, MN 55122-3331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
MN
171100000X
Acupuncturist
—
—
174H00000X
Health Educator
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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