EQUILIBRIYA, LLC


Address: 105 New England Pl Ste 150, Stillwater, MN 55082-2036
Phone: 6513422175

EQUILIBRIYA, LLC (NPI# 1801376587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801376587
Entity Type Organization
Organization Name EQUILIBRIYA, LLC
Practice Address 105 New England Pl Ste 150
Stillwater
MN 55082-2036
Practice Telephone 6513422175
Mailing Telephone 6513422175
Enumeration Date 2018-08-21
Last Update Date 2018-08-21
Authorized Official Name WENDY LEE MCMAHON (CO-OWNER)
Authorized Official Telephone 6513422175
Authorized Official Credential LMFT, LADC, CST
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 3313 MN Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
303560 MN Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 3313 MN Behavioral Health & Social Service Providers
Y 101Y00000X Counselor 81 MN Behavioral Health & Social Service Providers

Office Location

Street Address 105 NEW ENGLAND PL STE 150
City STILLWATER
State MN
Zip Code 55082-2036

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NPI Name Taxonomy Address Enumeration
1154947455 Lucas William Schmidt Optometrist 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 2020-06-23
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1598243990 Carlson Distinctive Dentistry, Pllc Dentist 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 2018-07-30
1073001624 Lindsay Beth Briggs Chiropractor 200 Chestnut St E, Ste 202, Stillwater, MN 55082 2018-04-30
1578932943 Group Health Plan, Inc Family Medicine 921 Greeley Street, Stillwater, MN 55082 2015-09-16
1184001919 Grant Rohrig Specialist/Technologist 8727 Jeffrey Ave North, Stillwater, MN 55082 2015-04-30
1346688991 Kellie Ann Seth Chiropractor 200 Chestnut St E Ste 202, Stillwater, MN 55082 2013-06-05
1770928426 Rivertown Animal Hospital Veterinarian 135 New England Place, Stillwater, MN 55082 2013-05-08
1285929265 Healtheast Medical Research Institute Dietitian, Registered 2900 Curve Crest Blvd, Stillwater, MN 55082 2011-06-17
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932734555 Victoria Dotter Counselor 1912 Eastern Ave, Stillwater, OK 74074-6232 2020-03-04
1679039937 Kensie Lyon Counselor 1005 S Mcdonald St, Stillwater, OK 74074-5220 2019-02-12
1023511508 Leslie Erin Shuck Counselor 2325 W 7th Pl, Stillwater, OK 74074-1902 2018-03-12
1528591575 Susan Clark Counselor 604 S Walnut, Stillwater, OK 74074-4222 2017-04-06
1376915967 Kalin Tinnin Counselor 4599 N Washington St, Stillwater, OK 74075-1278 2015-10-22
1881061885 Tayler Hall Counselor 121 S Duck St, Ste. 1, Stillwater, OK 74074-3292 2015-08-25
1851708721 Jennifer Sobel Counselor 1621 S Surrey Dr, Stillwater, OK 74074-1851 2014-07-12
1972928505 Megan Best Counselor 920 S Murphy St Apt 12301, Stillwater, OK 74074-1767 2014-02-18
1457604720 Evelyn Creggett Counselor 1200 N Perkins Rd, Apt M1, Stillwater, OK 74075-7104 2012-10-23
1144570565 Nikkie Jo Dunnigan Counselor 2322 W 7th, Stillwater, OK 74074 2012-09-13
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Competitor

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City STILLWATER
Zip Code 55082

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Dataset Information

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.

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