Profound Therapy Llc

LBN: Profound Therapy Llc
Profound Therapy Llc is an health care organization with primary practice located at 720 8Th Ave N , Saint Cloud MN 56303-3420. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Profound Therapy Llc can be contacted via phone (320) 266-1693, or through Otis, Nicole J via phone (320) 266-1693.

Contact Information

Primary practice address
720 8Th Ave N Saint Cloud MN 56303-3420
Phone: (320) 266-1693
Fax: (320) 251-0217
Website:
Map and Directions
Authorized official contact:
Name: Otis, Nicole J LMFT
Phone: (320) 266-1693

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1386909281
LBN Legal business name Profound Therapy Llc
DBA Doing business as
Authorized official Otis, Nicole J LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2012
Last updated Jan 13th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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