Provider Demographics
NPI:1194804518
Name:WILLIAM H PERCY LLC
Entity type:Organization
Organization Name:WILLIAM H PERCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:PERCY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP, LMFT
Authorized Official - Phone:612-819-2311
Mailing Address - Street 1:111 E FRANKLIN AVE
Mailing Address - Street 2:#319
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-2541
Mailing Address - Country:US
Mailing Address - Phone:612-819-2311
Mailing Address - Fax:612-870-4542
Practice Address - Street 1:1409 WILLOW ST
Practice Address - Street 2:220
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2269
Practice Address - Country:US
Practice Address - Phone:612-819-2311
Practice Address - Fax:612-870-4542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN189103T00000X
MN78106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty