Organization · Type 2 NPI

Take Flight Counseling Services LLC

Mental Health Counselor · St. Paul, MN

NPI number 1124597133 Active

Practice location

1821 University Ave W Ste S303
St. Paul, MN 55104-2813

Call (612) 554-9661 Map

Fax (651) 645-5970

Mailing address

4318 34th Ave S
Minneapolis, MN 55406-3831

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed
Counseling Psychologist	103TC1900X	None listed
Clinical Social Worker	1041C0700X	None listed
Marriage & Family Therapist	106H00000X	None listed

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NPI record

NPI: 1124597133
Entity type: Organization (Type 2)
Issued: Nov 19, 2018
Last updated: Nov 21, 2018
Status: Active
Subpart: Yes of Take Flight Counseling Services LLC

Other names

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Take Fligt Counseling Services LLC · doing business as

Authorized official

Constance Loraine Bennett, LPCC
Owner
(612) 554-9661

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124597133

Take Flight Counseling Services LLC's National Provider Identifier is 1124597133, issued on Nov 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Paul, MN. The record was last updated on Nov 21, 2018.