MEDICARE: THROUGH THE WOODS COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1073395281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THROUGH THE WOODS COUNSELING LLC

Provider Business Mailing Address
First Line	:	1199 ENGLEWOOD AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-1412
Country	:	US
Telephone Number	:	808-631-1454
Fax Number	:

Provider Business Practice Location Address
First Line	:	475 CLEVELAND AVE N STE 200
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-5053
Country	:	US
Telephone Number	:	808-631-1454
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANN CURTIS
Credential	:	MS, LPCC, LADC
Telephone Number	:	808-631-1454

Provider Enumeration Date	:	10/23/2023
Last Update Date	:	10/23/2023

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