Organization
PROGRESSIVE INSPIRATIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA PETERSON MA, LP (OWNER)
(612) 385-4566
Entity
Organization
Contact information
Practice address
14843 ENERGY WAY, APPLE VALLEY, MN 55124-5757
(612) 385-4566
Mailing address
14843 ENERGY WAY, APPLE VALLEY, MN 55124-5757
(952) 209-1644
(952) 423-0365
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
12/02/2024
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