The Compassion Boutique Pc

LBN: The Compassion Boutique Pc
The Compassion Boutique Pc is an health care organization with primary practice located at 4500 Park Glen Rd Ste 450 , St Louis Park MN 55416-5190. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. The Compassion Boutique Pc can be contacted via phone (952) 259-9099, or through Wagner, Elizabeth via phone (952) 295-9099.

Contact Information

Primary practice address
4500 Park Glen Rd Ste 450 St Louis Park MN 55416-5190
Phone: (952) 259-9099
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Elizabeth PSYD
Phone: (952) 295-9099

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1457175267
LBN Legal business name The Compassion Boutique Pc
DBA Doing business as
Authorized official Wagner, Elizabeth PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2024
Last updated Nov 9th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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