Organization
SBTV LLC
Active
Other names
SBTV LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIE M MARR PSY.D., LP (OWNER)
(612) 440-8742
Entity
Organization
Contact information
Practice address
6121 EXCELSIOR BLVD STE 101A, ST LOUIS PARK, MN 55416-2752
(612) 440-8742
(716) 531-9060
Mailing address
PO BOX 490171, MINNEAPOLIS, MN 55449-0171
(612) 440-8742
(716) 531-9060
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4960
—
MN
Enumeration date
03/20/2019
Last updated
06/11/2019
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