Divergent Path Therapy PLLC
Divergent Path Therapy PLLC is a Clinic/Center in Minneapolis, Minnesota. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4404 Nicollet Ave Apt 1Minneapolis, MN 55419-2642
Phone: (612) 217-4890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1083598205 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shane Prijatel-Spare — Owner · (612) 217-4890 |
| NPI enumerated | August 1, 2025 |
| Last updated in NPPES | August 1, 2025 |
| Certification date | August 1, 2025 |
| Mailing address | 4404 Nicollet Ave Apt 1, Minneapolis, MN 55419-2642 |
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