Provider Demographics
NPI:1275076564
Name:ARIA COUNSELING, LLC
Entity Type:Organization
Organization Name:ARIA COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MADSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, MTBC
Authorized Official - Phone:612-216-0984
Mailing Address - Street 1:17325 23RD AVE N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-2269
Mailing Address - Country:US
Mailing Address - Phone:612-216-0984
Mailing Address - Fax:612-216-0984
Practice Address - Street 1:6524 WALKER ST
Practice Address - Street 2:SUITE 209
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-4238
Practice Address - Country:US
Practice Address - Phone:612-216-0984
Practice Address - Fax:612-216-0984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2263106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty