Healthcare Provider Details

I. General information

NPI: 1669087797
Provider Name (Legal Business Name): CENTER FOR FAMILY WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2020
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E 9TH ST # 103
DULUTH MN
55805-1604
US

IV. Provider business mailing address

1346 W ARROWHEAD RD # 306
DULUTH MN
55811-2218
US

V. Phone/Fax

Practice location:
  • Phone: 218-772-2668
  • Fax:
Mailing address:
  • Phone: 218-772-2668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ERIN ELIZABETH DEVANEY THERRIEN
Title or Position: OWNER
Credential:
Phone: 218-772-2668