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General NPI Number Information
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NPI Number | 1316896475
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Entity Type | Organization
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Legal Business Name | FOREST FLOOR THERAPY LLC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 4601 EXCELSIOR BLVD STE 331
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-5228
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Country | US
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Telephone | 612-234-6190
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Fax | 612-234-6191
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Provider Business Mailing Address
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Address Line | 13100 BERKSHIRE DR STE 1
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City | MINNETONKA
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State | MN
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Zip | 55343-8641
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LORIN KROEGER
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Credential | LPCC
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Telephone | 612-234-6190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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