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General NPI Number Information
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NPI Number | 1902786965
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Entity Type | Organization
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Legal Business Name | AURORA HOLISTIC THERAPY P.L.L.C.
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 366 SELBY AVE STE 200
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City | SAINT PAUL
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State | MN
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Zip | 55102-2886
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Country | US
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Telephone | 612-466-0989
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Fax |
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Provider Business Mailing Address
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Address Line | 3204 36TH AVE NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-1713
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Country | US
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Telephone | 612-466-0989
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST/OWNER
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Name | CARLEY SARAVIA
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Credential | MSED
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Telephone | 612-466-0989
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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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