NPI Code Details Logo

NPI 1932062627

NPI 1932062627 : SONDER GROVE THERAPY, LLC : WHITE BEAR LAKE, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1932062627
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SONDER GROVE THERAPY, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/08/2025
-----------------------------------------------------
    Last Update Date     |    12/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2150 3RD ST 
-----------------------------------------------------
    City                 |    WHITE BEAR LAKE
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55110-3271
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    715-379-9707
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2150 3RD ST 
-----------------------------------------------------
    City                 |    WHITE BEAR LAKE
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55110-3271
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    715-379-9707
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     HUA  XIONG-HER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    715-379-9707
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.