| Brooke Evans, Llc | |
|
316 Broadway St Ste 5 Alexandria MN 56308-1981 | |
| (320) 335-9781 | |
| Not Available |
| Full Name | Brooke Evans, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 316 Broadway St Ste 5, Alexandria, Minnesota |
| Authorized Official Name and Position | Brooke Halliday (OWNER) |
| Authorized Official Contact | 3203359781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Evans, Llc 316 Broadway St Ste 5 Alexandria MN 56308-1981 Ph: (320) 335-9781 | Brooke Evans, Llc 316 Broadway St Ste 5 Alexandria MN 56308-1981 Ph: (320) 335-9781 |
| NPI Number | 1356912034 |
|---|---|
| Provider Enumeration Date | 07/05/2021 |
| Last Update Date | 07/05/2021 |
| Certification Date | 07/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356912034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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