Sexual Health Institute, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LP3347 Issued in MN

Legal business name

SEXUAL HEALTH INSTITUTE, LLC

Practice address

1409 Willow St Ste 400
Minneapolis, MN 55403-3251

Phone

(612) 987-4482

Fax

(612) 872-2205

NPI assigned

Jan 9, 2009

Organization subpart

No

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

Authorized official

Name

Weston Edwards, PHD, LP

Title

Owner

Phone

(612) 987-4482

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1659518819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WILLOW ST STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033251",
            "telephone_number": "612-987-4482",
            "fax_number": "612-872-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WILLOW ST STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033251",
            "telephone_number": "612-987-4482",
            "fax_number": "612-872-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEXUAL HEALTH INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "WESTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-987-4482",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "LP3347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.