Healthcare Provider Details

I. General information

NPI: 1700305992
Provider Name (Legal Business Name): INNERSTRENGTH THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2017
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 HIGHWAY 169 N STE 315
NEW HOPE MN
55428-4049
US

IV. Provider business mailing address

10110 31ST AVE N
PLYMOUTH MN
55441-3170
US

V. Phone/Fax

Practice location:
  • Phone: 612-229-9790
  • Fax: 651-925-0566
Mailing address:
  • Phone: 612-703-5401
  • Fax: 888-965-7702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2043
License Number StateMN

VIII. Authorized Official

Name: MRS. JESSICA LYNETTE VERBOUT
Title or Position: OWNER
Credential: M.A., LMFT, CST
Phone: 612-552-5800