Organization
INDIGO BRIDGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA ARNDT MA, LPCC (CHIEF EXECUTIVE THERAPIST)
(952) 649-2836
Entity
Organization
Contact information
Practice address
17533 PAVELKA DR, EDEN PRAIRIE, MN 55346-4284
(952) 649-2836
Mailing address
17533 PAVELKA DR, EDEN PRAIRIE, MN 55346-4284
(952) 649-2836
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
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
06/16/2023
Last updated
06/16/2023
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