Provider Demographics
NPI:1215751904
Name:TALIA SINGER LICSW LLC
Entity type:Organization
Organization Name:TALIA SINGER LICSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:612-217-2019
Mailing Address - Street 1:11812 WAYZATA BLVD STE 200A
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55305-2008
Mailing Address - Country:US
Mailing Address - Phone:612-217-2019
Mailing Address - Fax:
Practice Address - Street 1:11812 WAYZATA BLVD STE 200A
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55305-2008
Practice Address - Country:US
Practice Address - Phone:612-217-2019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)