Invictus Psychotherapy LLC

NPI #1295304947 in Champlin, Minnesota

Provider Information

NPI Number: 1295304947
Entity Type: Organization
Organization Name: Invictus Psychotherapy LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 17, 2021
Last Updated: Jun 17, 2021

Practice Location

Address: 11181 HILLSBORO AVE N
City: Champlin
State: Minnesota
ZIP Code: 55316-3128
Phone: (612) 481-4049

Authorized Official

Name: SAMUEL JAMES ANDERSON, MSW LICSW
Title: CLINICAL SOCIAL WORKER
Phone: (612) 481-4049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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