Provider Demographics
NPI:1063032670
Name:LET'S TALK THERAPY, LLC
Entity Type:Organization
Organization Name:LET'S TALK THERAPY, LLC
Other - Org Name:LET'S TALK HEALING, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/TREATMENT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABYAN
Authorized Official - Middle Name:ABDI
Authorized Official - Last Name:BASHIR
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LGSW
Authorized Official - Phone:612-968-2012
Mailing Address - Street 1:1821 UNIVERSITY AVE W STE 223
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-2801
Mailing Address - Country:US
Mailing Address - Phone:612-968-2012
Mailing Address - Fax:651-927-0334
Practice Address - Street 1:1821 UNIVERSITY AVE W STE 223
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2801
Practice Address - Country:US
Practice Address - Phone:612-968-2012
Practice Address - Fax:651-927-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty