| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MELANIE EDMONDS | 1780229567 | 2024-03-09 |
Melanie Edmonds is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780229567. Registration indicates Melanie Edmonds is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Melanie Edmonds LMFT |
| Practice Office Address | 3217 HENNEPIN AVE STE 3 MINNEAPOLIS, MN US |
| Practice Office Telephone | 6124607098 |
| Practice Office Fax | 8553841883 |
| Mailing Address | 5645 13TH AVE S MINNEAPOLIS, MN 554172526 US |
| Business Telephone | 6128236837 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 5645 13th Ave S | Minneapolis, MN 554172526 | 6128236837 61282 |
| 1032 Grand Ave Ste 100 | Saint Paul, MN 551053064 | 6124607098 / 8553841883 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 2240
MN |
| 193400000X SING | Group Code |