Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Richelle Moen, PHD LLC

Organization Community/Behavioral Health Agency · NPI 1801169347

Richelle Moen, PHD LLC is a Community/Behavioral Health Agency in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4826 Chicago Ave Ste 207
Minneapolis, MN 55417-1063
Phone: (612) 743-7788
Fax: (612) 824-7341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence LP2440 (MN)

Record details

NPI number1801169347
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richelle Moen — Owner · (612) 743-7788
NPI enumeratedFebruary 14, 2012
Last updated in NPPESFebruary 14, 2012
Mailing address4826 Chicago Ave Ste 207, Minneapolis, MN 55417-1063

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