| Anointed Living | |
|
5601 Quebec Ave N Apt 103a New Hope MN 55428-3383 | |
| (612) 478-2628 | |
| Not Available |
| Full Name | Anointed Living |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5601 Quebec Ave N Apt 103a, New Hope, Minnesota |
| Authorized Official Name and Position | Ta-tanisha Hawkins (CEO) |
| Authorized Official Contact | 6124782628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anointed Living 716 County Road 10 Ne # 232 Blaine MN 55434-2331 Ph: (612) 478-2628 | Anointed Living 5601 Quebec Ave N Apt 103a New Hope MN 55428-3383 Ph: (612) 478-2628 |
| NPI Number | 1174237408 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174237408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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