Provider Demographics
NPI:1376316406
Name:POSSIBILITIES PSYCHOTHERAPY
Entity Type:Organization
Organization Name:POSSIBILITIES PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:612-234-2135
Mailing Address - Street 1:3249 HENNEPIN AVE STE 210A
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-3413
Mailing Address - Country:US
Mailing Address - Phone:612-234-2135
Mailing Address - Fax:
Practice Address - Street 1:3249 HENNEPIN AVE STE 210A
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-3413
Practice Address - Country:US
Practice Address - Phone:612-234-2135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty