Healthcare Provider Details

I. General information

NPI: 1508761636
Provider Name (Legal Business Name): THE CONNECTION CO THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 22ND AVE E STE 202A
ALEXANDRIA MN
56308-4653
US

IV. Provider business mailing address

1005 BENJAMIN DR
ALEXANDRIA MN
56308-4750
US

V. Phone/Fax

Practice location:
  • Phone: 320-413-8339
  • Fax:
Mailing address:
  • Phone: 218-289-6065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRYSTINA WEISS
Title or Position: LMFT
Credential: MS
Phone: 320-413-8339