Clearwaters Crosby LLC

NPI #1093389736 in Crosby, Minnesota

Provider Information

NPI Number: 1093389736
Entity Type: Organization
Organization Name: Clearwaters Crosby LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 17, 2021
Last Updated: Sep 28, 2024

Practice Location

Address: 207 1ST ST NW
City: Crosby
State: Minnesota
ZIP Code: 56441-1301
Phone: (218) 585-2052

Authorized Official

Name: TANYA KUBISTA, LMFT
Title: OWNER
Phone: (218) 585-2052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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