| Aligned Synergy Mental Health Services | |
|
8705 Douglas Dr N Brooklyn Park MN 55445-3232 | |
| (651) 336-2837 | |
| (240) 556-0535 |
| Full Name | Aligned Synergy Mental Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 8705 Douglas Dr N, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Irene Mbone Ottoson (APRN, CNP) |
| Authorized Official Contact | 6513362837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aligned Synergy Mental Health Services 8705 Douglas Dr N Brooklyn Park MN 55445-3232 Ph: (651) 336-2837 | Aligned Synergy Mental Health Services 8705 Douglas Dr N Brooklyn Park MN 55445-3232 Ph: (651) 336-2837 |
| NPI Number | 1063173508 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Medicare PECOS PAC ID | 9436544004 |
|---|---|
| Medicare Enrollment ID | O20220317000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063173508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Irene M Ottoson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619568912 PECOS PAC ID: 0749694529 Enrollment ID: I20210208001110 |
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