Organization
SPRINGBOX THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGEANNA INGERSOLL LEWIS LICSW (THERAPIST/OWNER)
(612) 239-2796
Entity
Organization
Contact information
Practice address
3217 HENNEPIN AVE STE 5, MINNEAPOLIS, MN 55408-4695
(612) 239-2796
(888) 971-3874
Mailing address
3217 HENNEPIN AVE STE 5, MINNEAPOLIS, MN 55408-4695
(612) 239-2796
(888) 971-3874
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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