| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GEORGE ANN LOFTIS | 1669119327 | 2022-05-15 |
George Ann Loftis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669119327. Registration indicates George Ann Loftis is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | George Ann Loftis |
| Practice Office Address | 3333 UNIVERSITY AVE SE MINNEAPOLIS, MN US |
| Practice Office Telephone | 6129796174 |
| Mailing Address | 14151 TERRITORIAL RD UNIT 210 MAPLE GROVE, MN 553695725 US |
| Business Telephone | 6125323866 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | CC03299
MN |