Provider Demographics
NPI:1801028972
Name:PSYCHOTHERAPY & HEALING ASSOCIATES, LTD
Entity Type:Organization
Organization Name:PSYCHOTHERAPY & HEALING ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:G
Authorized Official - Last Name:POST
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:612-791-0733
Mailing Address - Street 1:8085 WAYZATA BOULEVARD
Mailing Address - Street 2:SUITE NUMBER 203
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426
Mailing Address - Country:US
Mailing Address - Phone:612-296-3800
Mailing Address - Fax:612-259-7665
Practice Address - Street 1:8085 WAYZATA BOULEVARD
Practice Address - Street 2:SUITE NUMBER 203
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426
Practice Address - Country:US
Practice Address - Phone:612-296-3800
Practice Address - Fax:612-259-7665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3889LP103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty