| Alpha Emergence Behavioral Health | |
|
825 Nicollet Mall Ste 1050 Minneapolis MN 55402-2624 | |
| (763) 333-8001 | |
| (651) 925-0267 |
| Full Name | Alpha Emergence Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 825 Nicollet Mall, Minneapolis, Minnesota |
| Authorized Official Name and Position | Sara Heisel (PRACTICE MANAGER) |
| Authorized Official Contact | 7633338001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Emergence Behavioral Health 825 Nicollet Mall Ste 1050 Minneapolis MN 55402-2624 Ph: (763) 333-8001 | Alpha Emergence Behavioral Health 825 Nicollet Mall Ste 1050 Minneapolis MN 55402-2624 Ph: (763) 333-8001 |
| NPI Number | 1326172057 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 07/22/2023 |
| Certification Date | 07/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326172057 | NPI | - | NPPES |
| 8465104 | Other | UBH | |
| 8465108 | Other | UBH | |
| OG152AL | Other | BLUE CROSS BLUE SHIELD | |
| 8465105 | Other | UBH | |
| 8G482AL | Other | BLUE CROSS BLUE SHIELD | |
| OG158AL | Other | BLUE CROSS BLUE SHIELD | |
| 8465106 | Other | UBH | |
| 8565107 | Other | UBH | |
| 8465103 | Other | UBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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