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WICK PSYCHOTHERAPY
NPI 1053059105
Clinic/Center - Adult Mental Health in Wayzata, MN

Active since May 26, 2022
1001 TWELVE OAKS CENTER DR STE 1030E, WAYZATA, MN 55391(612) 910-3108 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Adult Mental Health

About WICK PSYCHOTHERAPY

This page provides the complete NPI Profile along with additional information for Wick Psychotherapy, a provider established in Wayzata, Minnesota operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1053059105 assigned on May 2022. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Christie Wick Lmft (Marriage & Family Therapist)

NPI
1053059105 Verify this NPI
Provider Name
WICK PSYCHOTHERAPY
Entity Type
Organization
Location Address
1001 TWELVE OAKS CENTER DR STE 1030E WAYZATA, MN 55391
Location Phone
(612) 910-3108
Mailing Address
7959 S BAY CURV EDEN PRAIRIE, MN 55347
Mailing Phone
(612) 910-3108
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2022
Last Update Date
05-26-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTIE WICK LMFT

Authorized Official Title
MARRIAGE & FAMILY THERAPIST
Authorized Official Phone
(612) 910-3108

Reviews for WICK PSYCHOTHERAPY

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

KERIN E LOGSTROM MA, LMFT
Marriage & Family Therapist
1001 TWELVE OAKS CENTER DR STE 1030E
WAYZATA, MN 55391
Hennepin County (952) 457-5704

Frequently Asked Questions

What is WICK PSYCHOTHERAPY's NPI number?

The NPI number assigned to this healthcare provider is 1053059105, enumerated as an "organization" on May 26, 2022.

Where is the provider located?

The provider is located at 1001 TWELVE OAKS CENTER DR STE 1030E WAYZATA, MN 55391 and the phone number is (612) 910-3108.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.