Organization

Family Therapy Resources Pa

Legal Business Name

Family Therapy Resources Pa

NPI Number

1912052952

NPI Type

Organization

Enumeration Date

01/23/2007

Specialties

(Taxonomies)

Code

1041C0700X
103TF0000X
106H00000X
103T00000X

Primary Taxonomy

No
No
No
No

Licenses

State

Minnesota
Minnesota
Minnesota

License Number

2929
3280
870

Contact
Information

Purpose

Mailing
Location

Address

7400 METRO BLVD
7400 METRO BLVD

City

Edina
Edina

State

MN
MN

Postal Code

55439-2316
55439-2316

Country

US
US

Telephone Number

(952) 835-6950
(952) 835-6950

Authorized Official

Name

Dr. Judy Tiesel

Title or Position

PRESIDENT

Telephone Number

(952) 835-6950

Identifiers

Identifier

8H297YA

Identifier State

MN

Identifier Issuer

BCBS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address