Avante Enterprises, Llc. | |
4306 Bryant Ave S Minneapolis MN 55409-1709 | |
(651) 492-5544 | |
(612) 259-7592 |
Full Name | Avante Enterprises, Llc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 4306 Bryant Ave S, Minneapolis, Minnesota |
Authorized Official Name and Position | Alejandro Maldonado Rodriguez (PRESIDENT/PSYCHOTHERAPIST) |
Authorized Official Contact | 6514925544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avante Enterprises, Llc. 4732 17th Ave S Minneapolis MN 55407-3614 Ph: (651) 492-5544 | Avante Enterprises, Llc. 4306 Bryant Ave S Minneapolis MN 55409-1709 Ph: (651) 492-5544 |
NPI Number | 1538987656 |
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Provider Enumeration Date | 09/27/2024 |
Last Update Date | 09/27/2024 |
Certification Date | 09/27/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538987656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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