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GRANT SOE
NPI 1164079919
Counselor - Mental Health in Maple Grove, MN

Active since August 26, 2019
13603 80TH CIR N, MAPLE GROVE, MN 55369(763) 274-3120(763) 274-3121 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grant Soe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANT SOE (NPI 1164079919) is an individual mental health provider in Maple Grove, Minnesota and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1164079919
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGRANT SOE
Location Address13603 80TH CIR NMaple Grove, MN 55369-8961
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(763) 274-3120
Fax(763) 274-3121
Sole ProprietorNo
Enumeration DateAugust 26, 2019
✔ NPI 1164079919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
13603 80TH CIR N, Maple Grove, MN 55369
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID M. KOSFELD LMFT
Marriage & Family Therapist
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
DR. ANITA THAMPY M.D
Psychiatry & Neurology (Psychiatry)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
AMOS KOUKOU MSW, LGSW
Social Worker (Clinical)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
DANIEL KNUDSON LADC
Counselor (Addiction (Substance Use Disorder))
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
BLAKE MALLOY
Counselor (Mental Health)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
DERELLE R MORRISON
Marriage & Family Therapist
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120
MARTHA SEPULVEDA
Counselor (Mental Health)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 284-3706
DR. ROCHELLE ELIZABETH MCCOURTNEY GREDVIG PSYD
Psychologist (Counseling)
13603 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 274-3120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Soe's NPI number?

The NPI number for Grant Soe is 1164079919. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Grant Soe located?

Grant Soe practices at 13603 80th Cir N, Maple Grove, MN 55369. The listed phone number is (763) 274-3120.

What is Grant Soe's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Grant Soe was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.