Provider Demographics
NPI:1750675104
Name:SPIEGEL PSYCHOTHERAPY SERVICES CORP
Entity Type:Organization
Organization Name:SPIEGEL PSYCHOTHERAPY SERVICES CORP
Other - Org Name:RMS COUNSELING LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMFT LADC
Authorized Official - Phone:612-805-7420
Mailing Address - Street 1:790 CLEVELAND AVE S
Mailing Address - Street 2:207A
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-3858
Mailing Address - Country:US
Mailing Address - Phone:612-805-7420
Mailing Address - Fax:651-690-0968
Practice Address - Street 1:790 CLEVELAND AVE S
Practice Address - Street 2:207A
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-3858
Practice Address - Country:US
Practice Address - Phone:612-805-7420
Practice Address - Fax:651-690-0968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN301154101YA0400X
MN1942106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty