Organization
WELLBEING PSYCHOTHERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN THOMAS-MCGREGOR M.A., LMFT (OWNER)
(612) 418-5637
Entity
Organization
Contact information
Practice address
2100 1ST AVE S, SUITE 204, MINNEAPOLIS, MN 55404-3488
(612) 418-5637
Mailing address
2100 1ST AVE S, SUITE 204, MINNEAPOLIS, MN 55404-3488
(612) 418-5637
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFT1393
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518224245
NPI ENUMERATOR FOR ORGANIZATION (THIS UPDATE IS FOR NAME CHANGE OF OWNER ONLY)
MN
05
—
A131613300
—
MN
Enumeration date
08/30/2016
Last updated
08/30/2016
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