Vlw LLC

NPI #1336628478 in Blaine, Minnesota

Provider Information

NPI Number: 1336628478
Entity Type: Organization
Organization Name: Vlw LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 9, 2018
Last Updated: Nov 17, 2021

Practice Location

Address: 4255 PHEASANT RIDGE DR NE STE 412
City: Blaine
State: Minnesota
ZIP Code: 55449-5066
Phone: (612) 799-6652

Authorized Official

Name: AMANDA ADELL WIRTH, LMFT
Title: CEO
Phone: (612) 799-6652

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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