Provider Demographics
NPI:1740155886
Name:FROM MY SIDE OF THE COUCH LLC
Entity type:Organization
Organization Name:FROM MY SIDE OF THE COUCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCMHC, LMHC, LPC
Authorized Official - Phone:321-458-5663
Mailing Address - Street 1:9890 42ND ST NE
Mailing Address - Street 2:
Mailing Address - City:SAINT MICHAEL
Mailing Address - State:MN
Mailing Address - Zip Code:55376-3020
Mailing Address - Country:US
Mailing Address - Phone:321-458-5663
Mailing Address - Fax:763-355-9169
Practice Address - Street 1:9890 42ND ST NE
Practice Address - Street 2:
Practice Address - City:SAINT MICHAEL
Practice Address - State:MN
Practice Address - Zip Code:55376-3020
Practice Address - Country:US
Practice Address - Phone:321-458-5663
Practice Address - Fax:763-355-9169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty