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