Provider Demographics
NPI:1538426994
Name:TAPIA-FARRELL, OLGA LIDIA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:LIDIA
Last Name:TAPIA-FARRELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 363
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-0363
Mailing Address - Country:US
Mailing Address - Phone:952-225-1575
Mailing Address - Fax:
Practice Address - Street 1:1705 SOUTHCROSS DR W UNIT 101
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-7027
Practice Address - Country:US
Practice Address - Phone:952-225-1575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1024106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist