Organization
TRACY DAVIS, LMFT, LLC
Active
Other names
Willow Creek Counseling MN
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY DAVIS LMFT (OWNER)
(612) 293-5823
Entity
Organization
Contact information
Practice address
11812 WAYZATA BLVD STE 200B, MINNETONKA, MN 55305-2012
(612) 293-5823
Mailing address
11812 WAYZATA BLVD STE 200B, MINNETONKA, MN 55305-2012
(612) 293-5823
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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