Changing Strides Therapy LLC
NPI #1487001400 in Pequot Lakes, Minnesota
Provider Information
- NPI Number
- 1487001400
- Entity Type
- Organization
- Organization Name
- Changing Strides Therapy LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 19, 2016
- Last Updated
- Dec 4, 2024
Practice Location
- Address
- 10010 STRAWBERRY LAKE RD
- City
- Pequot Lakes
- State
- Minnesota
- ZIP Code
- 56472-2291
- Phone
- (218) 833-7636
Authorized Official
- Name
- STACY LOUISE GUSTAFSON, LPCC
- Title
- COUNSELOR
- Phone
- (218) 833-7636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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