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IZAAK DAVISON-KERWOOD
NPI 1790503704
Counselor - Mental Health in Minneapolis, MN

Active since September 30, 2024
1713 TYLER ST NE UNIT 2, MINNEAPOLIS, MN 55413(612) 850-1006 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2024, Sep 30, 2024 (2 updates tracked since 2024).

About Izaak Davison-kerwood NPPES

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

IZAAK DAVISON-KERWOOD (NPI 1790503704), doing business as Izaak Davison-kerwood, Llc, is a healthcare organization registered as a mental health in Minneapolis, Minnesota and active in the NPI registry since September 2024. The organization lists Izaak River Davison-kerwood, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790503704
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameIZAAK DAVISON-KERWOOD
Location Address1713 TYLER ST NE UNIT 2Minneapolis, MN 55413-1533
Mailing Address1713 Tyler St Ne Unit 2Minneapolis, MN 55413-1533 · (612) 850-1006
Phone(612) 850-1006
Organization SubpartNo
Authorized OfficialIzaak River Davison-kerwoodCeo · (612) 850-1006
Enumeration DateSeptember 30, 2024
Last NPPES UpdateDecember 20, 20242 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
✔ NPI 1790503704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1713 TYLER ST NE UNIT 2, Minneapolis, MN 55413
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Other Names 1

Former Legal Business NameIzaak Davison-kerwood, Llc

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 SINGLE SPECIALTY GROUP

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 Izaak Davison-Kerwood's NPI number?

The NPI number for Izaak Davison-Kerwood is 1790503704. It was assigned to this organization in the NPPES registry on September 30, 2024. The provider was formerly known as Izaak Davison-Kerwood, LLC.

Where is Izaak Davison-Kerwood located?

Izaak Davison-Kerwood is located at 1713 Tyler St NE Unit 2, Minneapolis, MN 55413. The listed phone number is (612) 850-1006.

What is Izaak Davison-Kerwood'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 Izaak Davison-Kerwood was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.