Provider Demographics
NPI:1831921220
Name:ELEMENT PSYCHOTHERAPY AND COUNSELING
Entity type:Organization
Organization Name:ELEMENT PSYCHOTHERAPY AND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:763-221-6821
Mailing Address - Street 1:6417 PENN AVE S STE 7-253
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55423-1186
Mailing Address - Country:US
Mailing Address - Phone:763-221-6821
Mailing Address - Fax:
Practice Address - Street 1:3801 W 50TH ST STE 250-K
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55410-2047
Practice Address - Country:US
Practice Address - Phone:763-221-6821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health