Organization
PSYCHOTHERAPEUTIC RESOURCES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA SHOSTED (OWNER)
(320) 253-3715
Entity
Organization
Contact information
Practice address
1411 W SAINT GERMAIN ST STE 105, SAINT CLOUD, MN 56301-4121
(320) 253-3715
(320) 252-2567
Mailing address
1411 W SAINT GERMAIN ST STE 105, SAINT CLOUD, MN 56301-4180
(320) 253-3715
(320) 252-2567
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
683752200
—
MN
Enumeration date
10/19/2006
Last updated
05/15/2023
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