Organization
LIBERATED ROOTS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET O'CONNOR MSW, LICSW (CO- PRESIDENT)
(630) 220-1757
Entity
Organization
Contact information
Practice address
2021 E HENNEPIN AVE, MINNEAPOLIS, MN 55413-2700
(630) 220-1757
Mailing address
2021 E HENNEPIN AVE, MINNEAPOLIS, MN 55413-2700
(630) 220-1757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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