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AUTISM FAMILY THERAPY INC
NPI 1194101212
Marriage & Family Therapist in Plymouth, MN

Active since July 31, 2015
12805 HIGHWAY 55, SUITE 402, PLYMOUTH, MN 55441(612) 597-0459 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Autism Family Therapy Inc NPPES

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

AUTISM FAMILY THERAPY INC (NPI 1194101212) is a healthcare organization registered as a marriage & family therapist in Plymouth, Minnesota and active in the NPI registry since July 2015. The organization lists Tamara Faye Phillips, President, as its authorized official.

NPPES Registry Identity

NPI1194101212
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameAUTISM FAMILY THERAPY INC
Location Address12805 HIGHWAY 55, SUITE 402Plymouth, MN 55441-3859
Mailing Address6080 Ives Ln NPlymouth, MN 55442-1241 · (612) 597-0459
Phone(612) 597-0459
Organization SubpartNo
Authorized OfficialTamara Faye PhillipsPresident · (612) 597-0459
Enumeration DateJuly 31, 2015
✔ NPI 1194101212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 2491
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
12805 HIGHWAY 55, Plymouth, MN 55441
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

LAURIS J PRINSEN L.A.D.C.
Counselor (Mental Health)
12805 HIGHWAY 55, SUITE 211
PLYMOUTH, MN 55441
Hennepin County (763) 550-9005
NAVIGATING CHANGES LLC
Marriage & Family Therapist
12805 HIGHWAY 55, SUITE 402
PLYMOUTH, MN 55441
Hennepin County (612) 643-0046
CHRISTINE S CHANG MD
Family Medicine
12805 HIGHWAY 55, SUITE 111
PLYMOUTH, MN 55441
Hennepin County (763) 577-2060
PAMELA RAE GALBRAITH M.S., L.P.C.
Counselor (Professional)
12805 HIGHWAY 55, SUITE 211
PLYMOUTH, MN 55441
Hennepin County (763) 550-9005
KRISTIN CARPENTER LMT
Massage Therapist
12805 HIGHWAY 55, SUITE 210
PLYMOUTH, MN 55441
Hennepin County (763) 550-0892
ROGER LEE REDDAN M.A., L.P.
Psychologist (Counseling)
12805 HIGHWAY 55, SUITE 211
PLYMOUTH, MN 55441
Hennepin County (763) 550-9005
JEFF SHIVELY, MSW, LICSW
Social Worker (Clinical)
12805 HIGHWAY 55, SUITE 200
PLYMOUTH, MN 55441
Hennepin County (612) 723-0408
JEFF WILLIAM SHIVELY LICSW
Social Worker (Clinical)
12805 HIGHWAY 55, SUITE 200
PLYMOUTH, MN 55441
Hennepin County (612) 723-0408

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 Autism Family Therapy Inc's NPI number?

The NPI number for Autism Family Therapy Inc is 1194101212. It was assigned to this organization in the NPPES registry on July 31, 2015.

Where is Autism Family Therapy Inc located?

Autism Family Therapy Inc is located at 12805 Highway 55 Suite 402, Plymouth, MN 55441. The listed phone number is (612) 597-0459.

What is Autism Family Therapy Inc's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Autism Family Therapy Inc was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.