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NPI Code Detail

MEDICARE: SEXUAL HEALTH INSTITUTE, LLC

MEDICARE: SEXUAL HEALTH INSTITUTE, 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
1101YM0800XMental Health CounselorLP3347MN

General Provider Information

NPI Number : 1659518819
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEXUAL HEALTH INSTITUTE, LLC
Provider Business Mailing Address
First Line : 1409 WILLOW ST STE 400
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55403-3251
Country : US
Telephone Number : 612-987-4482
Fax Number : 612-872-2205
Provider Business Practice Location Address
First Line : 1409 WILLOW ST STE 400
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55403-3251
Country : US
Telephone Number : 612-987-4482
Fax Number : 612-872-2205
Authorized Official
Title or Position : OWNER
Name : WESTON EDWARDS
Credential : PHD, LP
Telephone Number : 612-987-4482
Provider Enumeration Date : 01/09/2009
Last Update Date : 01/09/2009

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Directions to “SEXUAL HEALTH INSTITUTE, LLC ” Practice Location

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