| Baldwin Therapy Services Pllc | |
|
2201 15th St Sw # Ll5 Minot ND 58701-6935 | |
| (701) 838-9550 | |
| (701) 838-9569 |
| Full Name | Baldwin Therapy Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2201 15th St Sw # Ll5, Minot, North Dakota |
| Authorized Official Name and Position | Tricia Baldwin (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7013401216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baldwin Therapy Services Pllc 2201 15th St Sw # Ll5 Minot ND 58701-6935 Ph: (701) 340-1216 | Baldwin Therapy Services Pllc 2201 15th St Sw # Ll5 Minot ND 58701-6935 Ph: (701) 838-9550 |
| NPI Number | 1750976999 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Medicare PECOS PAC ID | 9032527395 |
|---|---|
| Medicare Enrollment ID | O20210426002697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750976999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tricia A Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760571285 PECOS PAC ID: 5294872354 Enrollment ID: I20091021000630 |
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