OrganizationActive
Tracy Davis, Lmft, LLC
NPI 1497578439 · Mental Health Clinic/Center (Including Community Mental Health Center) · Minnetonka, MN
Provider details
- NPI number
- 1497578439
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tracy Davis, Owner(612) 293-5823
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11812 Wayzata Blvd Ste 200b
Minnetonka, MN 55305-2012
Phone: (612) 293-5823
Street-level locationGet directions
Mailing address
11812 Wayzata Blvd Ste 200b
Minnetonka, MN 55305-2012
Other names (DBA / former)
- Doing business as
- Willow Creek Counseling Mn
Registry dates
- Enumerated
- 2024-11-07
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.