Judi Ross Holistic Therapy, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2534 Issued in MN

Legal business name

JUDI ROSS HOLISTIC THERAPY, LLC

Practice address

4141 Old Sibley Memorial Highway
Eagan, MN 55122

Phone

(612) 314-6012

Fax

(651) 882-6280

NPI assigned

Mar 9, 2015

Last updated

May 12, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Judith L Ross

Title

Ms, LMFT, Ryt-200

Phone

(507) 382-3167

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1528451028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6607 18TH AVE S STE 201",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232700",
            "telephone_number": "612-314-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 OLD SIBLEY MEMORIAL HIGHWAY",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55122",
            "telephone_number": "612-314-6012",
            "fax_number": "651-882-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDI ROSS HOLISTIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MS, LMFT, RYT-200",
        "authorized_official_telephone_number": "507-382-3167"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Eagan, MN
• Providers in Eagan, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.