Provider Demographics
NPI:1760670087
Name:HEART OF THE CITY COUNSELING, INC
Entity Type:Organization
Organization Name:HEART OF THE CITY COUNSELING, INC
Other - Org Name:THE THERAPY SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LMFT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AYDT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:952-808-1400
Mailing Address - Street 1:760 SOUTHCROSS DR W
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306
Mailing Address - Country:US
Mailing Address - Phone:952-808-1400
Mailing Address - Fax:952-808-1400
Practice Address - Street 1:125 SE MAIN STREET
Practice Address - Street 2:SUITE 330
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414
Practice Address - Country:US
Practice Address - Phone:952-808-1400
Practice Address - Fax:952-808-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1228251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN742647000OtherMA #
C05925OtherMEDICARE
MN1228OtherLMFT LICENSE #