Organization
POPPY AND JADE THERAPY COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYANNE T MELLICK LPCC (OWNER)
(612) 293-9192
Entity
Organization
Contact information
Practice address
5521 42ND AVE S, MINNEAPOLIS, MN 55417-2260
(612) 293-9192
Mailing address
5521 42ND AVE S, MINNEAPOLIS, MN 55417-2260
(612) 293-9192
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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