Boone Counseling Services, Pllc | |
314 Clifton Ave Suite 200c Minneapolis MN 55403-3235 | |
(612) 454-9798 | |
(952) 487-5234 |
Full Name | Boone Counseling Services, Pllc |
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Speciality | Counselor |
Location | 314 Clifton Ave, Minneapolis, Minnesota |
Authorized Official Name and Position | Eric Francis Boone (OWNER) |
Authorized Official Contact | 6124549798 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Boone Counseling Services, Pllc 314 Clifton Ave Ste 200c Minneapolis MN 55403-3226 Ph: (612) 454-9798 | Boone Counseling Services, Pllc 314 Clifton Ave Suite 200c Minneapolis MN 55403-3235 Ph: (612) 454-9798 |
NPI Number | 1427302363 |
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Provider Enumeration Date | 10/30/2012 |
Last Update Date | 06/13/2022 |
Certification Date | 06/13/2022 |
Medicare PECOS PAC ID | 1759532955 |
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Medicare Enrollment ID | O20121116000374 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427302363 | NPI | - | NPPES |
1982702981 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | 10413 (Minnesota) | Secondary |
Provider Name | Eric Francis Boone |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982702981 PECOS PAC ID: 3375544265 Enrollment ID: I20070119000113 |
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