Our Lady of Good Counsel Therapy Limited Liability Company

NPI #1992489660 in Wayzata, Minnesota

Provider Information

NPI Number: 1992489660
Entity Type: Organization
Organization Name: Our Lady of Good Counsel Therapy Limited Liability Company
Primary Specialty: Clinic/Center
Enumeration Date: Jun 13, 2023
Last Updated: Jun 13, 2023

Practice Location

Address: 1001 TWELVE OAKS CENTER DR STE 1030F
City: Wayzata
State: Minnesota
ZIP Code: 55391-4320
Phone: (612) 946-8983

Authorized Official

Name: WILLIAM GRACZYK
Title: OWNER
Phone: (612) 946-8983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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