NPI | 1770120933 |
---|---|
Doing Business As | SYNERGY ETHERAPY |
Entity Type | Organization |
Authorized Contact | LISA EILEEN LOVELACE Owner, Clinical Psychology 612-642-1355 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
Enumeration Date | 2019-12-06 |
Last Update Date | 2021-11-03 |