| Behavioral Health Innovations Llc | |
|
2355 Highway 36 W Ste 400 Roseville MN 55113-3905 | |
| (651) 333-0768 | |
| Not Available |
| Full Name | Behavioral Health Innovations Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2355 Highway 36 W Ste 400, Roseville, Minnesota |
| Authorized Official Name and Position | Yordanos Kiflu-martin (OWNER) |
| Authorized Official Contact | 6513330768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Innovations Llc 2355 Highway 36 W Ste 400 Roseville MN 55113-3905 Ph: (651) 333-0768 | Behavioral Health Innovations Llc 2355 Highway 36 W Ste 400 Roseville MN 55113-3905 Ph: (651) 333-0768 |
| NPI Number | 1174385538 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174385538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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