Provider Demographics
NPI:1093479057
Name:WOODNOTE THERAPY PLLC
Entity Type:Organization
Organization Name:WOODNOTE THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGELKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-329-2705
Mailing Address - Street 1:1913 S WASHINGTON ST STE C
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6339
Mailing Address - Country:US
Mailing Address - Phone:701-757-1425
Mailing Address - Fax:701-299-0695
Practice Address - Street 1:1913 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-6339
Practice Address - Country:US
Practice Address - Phone:701-317-6590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty