Healthcare Provider Details

I. General information

NPI: 1407438898
Provider Name (Legal Business Name): ECHO INTEGRATED HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2021
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1523 W LAKE ST STE A
MINNEAPOLIS MN
55408-2184
US

IV. Provider business mailing address

1523 W LAKE ST STE A
MINNEAPOLIS MN
55408-2184
US

V. Phone/Fax

Practice location:
  • Phone: 612-735-0997
  • Fax: 617-362-2618
Mailing address:
  • Phone: 612-735-0997
  • Fax: 617-362-2618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GENEVIEVE ELIZA CURTIS UTLEY
Title or Position: OWNER
Credential: DNP, APRN, PMHNP,
Phone: 612-735-0997