Organization · NPI-2

Daryn R Rogers Phd LP LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Eden Prairie, MN

NPI number1316505803
StatusActive
Last updated in NPPESOct 30, 2025

Details

NPI
1316505803
Entity type
Organization (NPI-2)
Legal business name
Daryn R Rogers Phd LP LLC
Organization subpart
No
Enumeration date
May 30, 2019
Certification date
Oct 30, 2025
Last updated
Oct 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

15832 Venture Ln
Eden Prairie, MN 55344-5732

Phone 952-209-9200 · Fax 952-209-9201

Mailing address

15832 Venture Ln
Eden Prairie, MN 55344-5732

Phone 952-209-9200 · Fax 952-209-9201

Authorized official

Daryn Rogers
Owner
9522099200

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Eden Prairie, MN