Organization
MEARS PSYCHOLOGICAL LLC
Active
Other names
The Soul's Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA TIMOTHY MEARS LP (OWNER)
(952) 767-9376
Entity
Organization
Contact information
Practice address
10567 165TH ST W, LAKEVILLE, MN 55044-3523
(952) 767-9374
Mailing address
10567 165TH ST W, LAKEVILLE, MN 55044-3523
(952) 767-9374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790062438
—
MN
Enumeration date
05/27/2022
Last updated
09/03/2025
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