| Anam Cara Therapies | |
|
3646 14th Ave S Minneapolis MN 55407-2712 | |
| (612) 462-3812 | |
| (612) 573-6682 |
| Full Name | Anam Cara Therapies |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3646 14th Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Cara Lynn Carlson (CLINICAL DIRECTOR AND THERAPIST) |
| Authorized Official Contact | 6124623812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anam Cara Therapies 3646 14th Ave S Minneapolis MN 55407-2712 Ph: (612) 462-3812 | Anam Cara Therapies 3646 14th Ave S Minneapolis MN 55407-2712 Ph: (612) 462-3812 |
| NPI Number | 1245504091 |
|---|---|
| Provider Enumeration Date | 02/25/2012 |
| Last Update Date | 06/17/2015 |
| Medicare PECOS PAC ID | 9436460060 |
|---|---|
| Medicare Enrollment ID | O20150623001197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245504091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8909 (Minnesota) | Primary |
| Provider Name | Cara L Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578696845 PECOS PAC ID: 2264510288 Enrollment ID: I20080416000347 |
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