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NPI 1902691215

NPI 1902691215 : EMERGING JOURNEYS COLLECTIVE PC : BROOKLYN PARK, MN

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General NPI Number Information
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    NPI Number           |    1902691215
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMERGING JOURNEYS COLLECTIVE PC 
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Dates
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    Enumeration Date     |    04/09/2025
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    Last Update Date     |    04/09/2025
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Provider Practice Location Address
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    Address Line         |    8525 EDINBROOK XING STE 2 
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    City                 |    BROOKLYN PARK
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    State                |    MN
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    Zip                  |    55443-1970
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    Country              |    US
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    Telephone            |    612-254-0195
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    Fax                  |    612-234-4788
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Provider Business Mailing Address
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    Address Line         |    2079 128TH LN NW 
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    City                 |    COON RAPIDS
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    State                |    MN
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    Zip                  |    55448-2521
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    Country              |    US
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    Telephone            |    612-655-0735
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    Fax                  |    612-234-4788
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ERIKA  MCAFEE-LEVAN 
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    Credential           |    LPCC
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    Telephone            |    612-254-0195
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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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