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General NPI Number Information
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NPI Number | 1275426991
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Entity Type | Organization
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Legal Business Name | MF THERAPY, PLLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 6545 FRANCE AVE S STE 662
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City | EDINA
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State | MN
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Zip | 55435-2127
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Country | US
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Telephone | 952-254-4615
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Fax | 952-209-9862
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Provider Business Mailing Address
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Address Line | 1500 THOMAS LN
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City | EAGAN
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State | MN
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Zip | 55122-2799
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Country | US
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Telephone | 617-501-7045
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Fax | 952-209-9862
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARINA A FELDMAN
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Credential | LPC
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Telephone | 617-501-7045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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