Provider Demographics
NPI:1649715400
Name:TRUE NORTH THERAPY LLC
Entity type:Organization
Organization Name:TRUE NORTH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNATT-SERBUS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:952-300-1039
Mailing Address - Street 1:864 STONE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:JORDAN
Mailing Address - State:MN
Mailing Address - Zip Code:55352-4548
Mailing Address - Country:US
Mailing Address - Phone:952-300-1039
Mailing Address - Fax:
Practice Address - Street 1:10591 165TH ST W
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-3528
Practice Address - Country:US
Practice Address - Phone:952-300-1039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
16509251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health