| Brent Richter Consulting, Llc | |
|
7218 Forestview Ln N Ste 107 Maple Grove MN 55369-5644 | |
| (763) 274-4028 | |
| (763) 322-8854 |
| Full Name | Brent Richter Consulting, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7218 Forestview Ln N Ste 107, Maple Grove, Minnesota |
| Authorized Official Name and Position | Brent Richter (CHIEF EXECUTIVE MANAGER) |
| Authorized Official Contact | 6123847263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Richter Consulting, Llc 7218 Forestview Ln N Ste 107 Maple Grove MN 55369-5644 Ph: (763) 274-4028 | Brent Richter Consulting, Llc 7218 Forestview Ln N Ste 107 Maple Grove MN 55369-5644 Ph: (763) 274-4028 |
| NPI Number | 1124370986 |
|---|---|
| Provider Enumeration Date | 10/03/2012 |
| Last Update Date | 10/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124370986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | LPC 00992 (Minnesota) | Primary |
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