Organization
SPIRIT IN BLOOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MARIE GOESS LICSW (OWNER/MENTAL HEALTH THERAPIST)
(612) 239-6262
Entity
Organization
Contact information
Practice address
5874 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN 55076-1621
(612) 239-6262
(651) 774-9576
Mailing address
5874 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN 55076-1621
(612) 239-6262
(651) 774-9576
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
14534
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VN000088953001
—
MN
Enumeration date
05/19/2016
Last updated
09/09/2025
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