Provider Demographics
NPI:1134307689
Name:CONNECTIONS COUNSELING AND RECOVERY SERVICES
Entity Type:Organization
Organization Name:CONNECTIONS COUNSELING AND RECOVERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:TERHORST
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT, LADC
Authorized Official - Phone:763-370-8880
Mailing Address - Street 1:6950 FRANCE AVE S STE 204
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2025
Mailing Address - Country:US
Mailing Address - Phone:763-370-8880
Mailing Address - Fax:302-370-8884
Practice Address - Street 1:6950 FRANCE AVE S STE 204
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2025
Practice Address - Country:US
Practice Address - Phone:763-370-8880
Practice Address - Fax:302-370-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1486251S00000X
MN302193251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health