Organization
THERAPEUTIC SERVICES AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PURDY (ASSISTANT BUSINESS DIRECTOR)
(320) 629-7600
Entity
Organization
Contact information
Practice address
220 RAILROAD ST SE, PINE CITY, MN 55063-1540
(320) 629-7600
(651) 925-0071
Mailing address
220 RAILROAD ST SE, PINE CITY, MN 55063-1540
(320) 629-7600
(651) 925-0071
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MN
104100000X
Social Worker
—
MN
106H00000X
Marriage & Family Therapist
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
757519000
—
MN
Enumeration date
09/22/2005
Last updated
07/21/2022
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