Provider Demographics
NPI:1619562113
Name:CATALYST INSIGHT COLLECTIVE, LLC
Entity Type:Organization
Organization Name:CATALYST INSIGHT COLLECTIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHANATABADI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC, SEP
Authorized Official - Phone:612-444-1655
Mailing Address - Street 1:2855 ANTHONY LN S STE 140
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-2880
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2855 ANTHONY LN S STE 140
Practice Address - Street 2:
Practice Address - City:ST ANTHONY
Practice Address - State:MN
Practice Address - Zip Code:55418-2880
Practice Address - Country:US
Practice Address - Phone:612-444-1655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty