MALLORY WOLFGRAMM (NPI# 1437651163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437651163 |
| Entity Type | Individual |
| Full Name | MALLORY WOLFGRAMM |
| Practice Address |
13700 83rd Way N #201 Maple Grove MN 55369 |
| Mailing Address |
2817 Girard Ave S Apt 412 Minneapolis MN 55408-5028 |
| Practice Telephone | 7634007475 |
| Mailing Telephone | 8478991173 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 3614 | MN | Behavioral Health & Social Service Providers |
| Street Address |
13700 83RD WAY N #201 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568553147 | Keith Michael Johnson | Chiropractor | 13700 83rd Way N, #200, Maple Grove, MN 55369-7015 | 2006-09-27 |
| 1073886826 | Trellis Counseling LLC | Community/Behavioral Health | 13700 83rd Way N, 201, Maple Grove, MN 55369-7015 | 2012-02-09 |
| 1861764078 | Minnesota Counseling and Couples Center LLC | Community/Behavioral Health | 13700 83rd Way N, Suite 201, Maple Grove, MN 55369-7015 | 2012-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295137248 | Jessica Jean Niles | Marriage & Family Therapist | 7469 Fernbrook Ln N, Maple Grove, MN 55311-2700 | 2014-09-22 |
| 1093138331 | Benjamin Bader | Marriage & Family Therapist | 12915 63rd Ave. N., Maple Grove, MN 55369 | 2014-01-22 |
| 1629399746 | Bonita Rae Johnson | Marriage & Family Therapist | 7206 Forestview Ln N # 210, Maple Grove, MN 55369-5581 | 2010-06-14 |
| 1710219779 | Kathleen A. O'brien | Marriage & Family Therapist | 9181 Chesshire Ln N, Maple Grove, MN 55369-8858 | 2010-02-02 |
| 1972738276 | Sara Jean Bidler | Marriage & Family Therapist | 7026 E Fish Lake Rd, Maple Grove, MN 55311 | 2009-05-16 |
| 1063652550 | Jana Marie Sczepanski Palkert | Marriage & Family Therapist | 7298 Weston Ln N, Maple Grove, MN 55311-2540 | 2009-02-24 |
| 1720253644 | Jennifer Rae Tagg | Marriage & Family Therapist | 11334 86th Ave N, Maple Grove, MN 55369 | 2008-04-23 |
| 1942485503 | Kathleen A O'brien | Marriage & Family Therapist | 7270 Forestview Ln N Ste 150, Maple Grove, MN 55369-5568 | 2008-01-02 |
| 1497882856 | Kathrine Carlson Daniels | Marriage & Family Therapist | 11252 86th Ave N, Maple Grove, MN 55369-4510 | 2007-02-27 |
| 1811053150 | Michele Marie Laney | Marriage & Family Therapist | 7236 Forestview Ln N, Suite 3205, Maple Grove, MN 55369-5501 | 2006-12-29 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on MALLORY WOLFGRAMM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.