Provider Demographics
NPI:1760063051
Name:VERTIN PSYCHOTHERAPY & CONSULTING SERVICES, PLLC
Entity Type:Organization
Organization Name:VERTIN PSYCHOTHERAPY & CONSULTING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:612-412-4620
Mailing Address - Street 1:8000 W 78TH ST STE 450
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2515
Mailing Address - Country:US
Mailing Address - Phone:612-412-4620
Mailing Address - Fax:612-331-5662
Practice Address - Street 1:8000 W 78TH ST STE 450
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2515
Practice Address - Country:US
Practice Address - Phone:612-412-4620
Practice Address - Fax:612-331-5662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-18
Last Update Date:2021-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty