Provider Demographics
NPI:1649769035
Name:THE INSTITUTE FOR RELATIONAL WELL-BEING
Entity Type:Organization
Organization Name:THE INSTITUTE FOR RELATIONAL WELL-BEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:NEEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:651-243-8200
Mailing Address - Street 1:1919 UNIVERSITY AVE W STE 425
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-3593
Mailing Address - Country:US
Mailing Address - Phone:651-243-8200
Mailing Address - Fax:651-243-8200
Practice Address - Street 1:1919 UNIVERSITY AVE W STE 425
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-3593
Practice Address - Country:US
Practice Address - Phone:651-243-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2018-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1260106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty