Provider Demographics
NPI:1265002299
Name:SOCIABILITY, PLLC
Entity Type:Organization
Organization Name:SOCIABILITY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:CONROY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP
Authorized Official - Phone:651-494-4496
Mailing Address - Street 1:13911 RIDGEDALE DR STE 340
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-1775
Mailing Address - Country:US
Mailing Address - Phone:612-380-3430
Mailing Address - Fax:
Practice Address - Street 1:13911 RIDGEDALE DR STE 340
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-1775
Practice Address - Country:US
Practice Address - Phone:612-380-3430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)