Provider Demographics
NPI:1841793247
Name:EMMA NADLER, L.L.C.
Entity Type:Organization
Organization Name:EMMA NADLER, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:NADLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:612-636-0275
Mailing Address - Street 1:3550 DEEPHAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-3015
Mailing Address - Country:US
Mailing Address - Phone:612-636-0275
Mailing Address - Fax:
Practice Address - Street 1:700 TWELVE OAKS CENTER DR STE 263
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-4440
Practice Address - Country:US
Practice Address - Phone:612-636-0275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-12
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)