Equilibriya, LLC

NPI #1801376587 in Stillwater, Minnesota

Provider Information

NPI Number: 1801376587
Entity Type: Organization
Organization Name: Equilibriya, LLC
Primary Specialty: Counselor
Enumeration Date: Aug 21, 2018
Last Updated: Aug 21, 2018

Practice Location

Address: 105 NEW ENGLAND PL STE 150
City: Stillwater
State: Minnesota
ZIP Code: 55082-2036
Phone: (651) 342-2175

Authorized Official

Name: WENDY LEE MCMAHON, LMFT, LADC, CST
Title: CO-OWNER
Phone: (651) 342-2175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Marriage & Family Therapist	106H00000X

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