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NPI Code Detail

MEDICARE: LAURELLE MYHRA LMFT

MEDICARE: LAURELLE MYHRA LMFT
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
1106H00000XMarriage & Family Therapist1558MN

General Provider Information

NPI Number : 1093997496
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURELLE MYHRA LMFT
Provider Business Mailing Address
First Line : 2115 CEDAR AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-3102
Country : US
Telephone Number : 612-348-0156
Fax Number :
Provider Business Practice Location Address
First Line : 2115 CEDAR AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-3102
Country : US
Telephone Number : 612-348-0156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2007
Last Update Date : 03/19/2026

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Directions to “ LAURELLE MYHRA LMFT” Practice Location

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