MEDICARE: SPRINGWOOD THERAPY, 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	251S00000X	Community/Behavioral Health Agency
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1356053284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGWOOD THERAPY, LLC

Provider Business Mailing Address
First Line	:	7201 METRO BLVD STE 550
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55439-1300
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 METRO BLVD STE 550
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55439-1300
Country	:	US
Telephone Number	:	651-307-9626
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAUREEN BRYNN LASCHEN
Credential	:	LPCC
Telephone Number	:	651-307-9626

Provider Enumeration Date	:	12/22/2022
Last Update Date	:	12/22/2022

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Directions to “SPRINGWOOD THERAPY, LLC ” Practice Location

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