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Contact Information

FAMILY THERAPY RESOURCES PA
7400 METRO BLVD
SUITE 413
EDINA, MN55439-2316
 Phone: 952-835-6950
 Fax: 952-835-0072
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Family

103TF0000X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for FAMILY THERAPY RESOURCES PA

NPI Number 1912052952
LBN Legal business name FAMILY THERAPY RESOURCES PA
Authorized official JUDY TIESEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
MN License # 2929
MN License # 3280
MN License # 870
MN Other 8H297YA BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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