Wild Roots Counseling LLC
Marriage & Family Therapist in Brooklyn Park, MN. Organization (NPI-2).
NPI number1104673151
StatusActive
Last updated in NPPESOct 5, 2026
Details
- NPI
- 1104673151
- Entity type
- Organization (NPI-2)
- Legal business name
- Wild Roots Counseling LLC
- Organization subpart
- No
- Enumeration date
- May 6, 2024
- Certification date
- Oct 5, 2026
- Last updated
- Oct 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Other names
- Wild Roots Counseling LLC (Doing Business As)
Practice location
7100 Northland Cir N Ste 104-HBrooklyn Park, MN 55428-1548
Phone 612-361-7688 · Fax 612-230-2034
Mailing address
7100 Northland Cir N Ste 104-HBrooklyn Park, MN 55428-1548
Phone 612-361-7688 · Fax 612-230-2034
Other practice locations
11670 Fountains Dr N Ste 278
Maple Grove, MN 55369-7235
Maple Grove, MN 55369-7235
Phone 612-361-7688 · Fax 612-230-2034
Authorized official
Toni Stone
Owner/Therapist
6123617688
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