Healthcare Provider Details

I. General information

NPI: 1689990665
Provider Name (Legal Business Name): MANKATO MARRIAGE AND FAMILY THERAPY CENTER PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2010
Last Update Date: 09/02/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 CALEDONIA STREET
MANKATO MN
56001
US

IV. Provider business mailing address

1207 CALEDONIA STREET
MANKATO MN
56001
US

V. Phone/Fax

Practice location:
  • Phone: 507-625-4884
  • Fax: 507-625-6311
Mailing address:
  • Phone: 507-625-4884
  • Fax: 507-625-6311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number965
License Number StateMN

VIII. Authorized Official

Name: MR. JOHN E. RAPKING
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: MS, LMFT
Phone: 507-625-4884