NPI 1003195942

Plymouth Psych Group, LLC

Organisation Mental Health Counselor Plymouth, MN

Practice location

Address: 3021 Harbor Ln N Suite 206, Plymouth, MN 55447-5109
Phone: (651) 271-9005
Fax: (763) 271-2707

Authorised official

Name: Israel Sokeye
Title: Owner
Phone: (651) 271-9005

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Registry record

NPI: 1003195942
Entity type: Organization
NPI issued: 10 Aug 2011
Record last updated: 10 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.