Emberlight Therapy LLC
NPI #1538038468 in Mendota Heights, Minnesota
Provider Information
- NPI Number
- 1538038468
- Entity Type
- Organization
- Organization Name
- Emberlight Therapy LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 30, 2025
- Last Updated
- Oct 30, 2025
Practice Location
- Address
- 2575 HERITAGE DR
- City
- Mendota Heights
- State
- Minnesota
- ZIP Code
- 55120-1737
- Phone
- (612) 608-9068
Authorized Official
- Name
- NICOLE DAVIS, LICSW
- Title
- OWNER
- Phone
- (612) 608-9068
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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