IndividualActive
Alexandria Tully, LMFT
NPI 1275350993 · Marriage & Family Therapist · Mahtomedi, MN
Provider details
- NPI number
- 1275350993
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- No
- License
- 4685 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
760 Stillwater Rd Unit 101
Mahtomedi, MN 55115-2060
Phone: (763) 360-0554
Approximate (ZIP-level) locationGet directions
Mailing address
1957 168th Ave Ne
Ham Lake, MN 55304-5417
Registry dates
- Enumerated
- 2024-09-24
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.