Illies, Melodie
Illies, Melodie is an individual health care provider with primary practice located at 16201 90Th St Ne Suite 200, Otsego MN 55330-7463. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Illies, Melodie can be contacted via phone (763) 746-9492.Contact Information
Primary practice address
16201 90Th St Ne Suite 200
Otsego MN 55330-7463
Phone: (763) 746-9492
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2447 | Minnesota |
Profile Details
| NPI number | 1952662611 |
|---|---|
| LBN Legal business name | Illies, Melodie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2012 |
| Last updated | May 30th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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