| Bears Counseling Pllc | |
|
1581 Lancaster Ln Eagan MN 55122-2720 | |
| (612) 227-0971 | |
| (651) 391-2072 |
| Full Name | Bears Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1581 Lancaster Ln, Eagan, Minnesota |
| Authorized Official Name and Position | Tarah L Groettum (OWNER/PROVIDER) |
| Authorized Official Contact | 6122270971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bears Counseling Pllc 1581 Lancaster Ln Eagan MN 55122-2720 Ph: (612) 227-0971 | Bears Counseling Pllc 1581 Lancaster Ln Eagan MN 55122-2720 Ph: (612) 227-0971 |
| NPI Number | 1750143442 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 9234570961 |
|---|---|
| Medicare Enrollment ID | O20240513003027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750143442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tarah Lynn Groettum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417699901 PECOS PAC ID: 5799135885 Enrollment ID: I20240102003044 |
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