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Indigo Bridge Therapy Llc
Adolescent and Children Mental Health Clinic/Center in Eden Prairie, Minnesota
NPI 1780369843

Indigo Bridge Therapy Llc is an Adolescent and Children Mental Health Clinic/Center based in Eden Prairie, MN and is specialized in Adolescent and Children Mental Health. Indigo Bridge Therapy Llc practices in Eden Prairie, MN. The NPI Number for Indigo Bridge Therapy Llc is 1780369843 and holds a License No. (Minnesota).

The current practice location address for Indigo Bridge Therapy Llc is 17533 Pavelka Dr, Eden Prairie, MN and can be reached out via phone at 952-649-2836. You can also correspond with Indigo Bridge Therapy Llc through the mailing address at 17533 PAVELKA DR, EDEN PRAIRIE, MN - 55346-4284 (mailing address contact number: 952-649-2836).

Location: 17533 Pavelka Dr, Eden Prairie, MN, 55346-4284
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780369843
Provider Name
Indigo Bridge Therapy Llc
Credential
Provider Entity Type
Organization
Address
17533 Pavelka Dr, Eden Prairie, MN, 55346-4284
Phone Number
952-649-2836
Fax Number
Provider Enumeration Date
06/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
17533 Pavelka Dr
City
Eden Prairie
State
Minnesota
Zip
55346-4284
Phone Number
952-649-2836
Fax Number
person
Provider Business Mailing Address Details
Address
17533 Pavelka Dr
City
Eden Prairie
State
Minnesota
Zip
55346-4284
Phone Number
952-649-2836
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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