| Align Your Soul Counseling | |
|
300 3rd Ave Se Ste 302 Rochester MN 55904-4681 | |
| (507) 218-5913 | |
| Not Available |
| Full Name | Align Your Soul Counseling |
|---|---|
| Speciality | Counselor |
| Location | 300 3rd Ave Se Ste 302, Rochester, Minnesota |
| Authorized Official Name and Position | Thu-ha Thi Park (OWNER) |
| Authorized Official Contact | 5072185913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Align Your Soul Counseling 300 3rd Ave Se Ste 302 Rochester MN 55904-4681 Ph: (507) 218-5913 | Align Your Soul Counseling 300 3rd Ave Se Ste 302 Rochester MN 55904-4681 Ph: (507) 218-5913 |
| NPI Number | 1477250488 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 4880034214 |
|---|---|
| Medicare Enrollment ID | O20240501003319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477250488 | NPI | - | NPPES |
| 1073915898 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Thu-ha Park |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073915898 PECOS PAC ID: 5799125126 Enrollment ID: I20240501003410 |
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