Organization
PORTLIGHT MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DALY MA, LMFT (LICENSED THERAPIST)
(612) 524-8243
Entity
Organization
Contact information
Practice address
5413 NICOLLET AVE # 152, MINNEAPOLIS, MN 55419-1927
(612) 524-8243
Mailing address
5413 NICOLLET AVE # 152, MINNEAPOLIS, MN 55419-1927
(612) 524-8243
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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