| Calm Therapy Place, Pllc | |
|
1821 Burdick Expy W Ste C Minot ND 58701-5667 | |
| (701) 852-7171 | |
| (701) 852-7121 |
| Full Name | Calm Therapy Place, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1821 Burdick Expy W Ste C, Minot, North Dakota |
| Authorized Official Name and Position | Rochelle Renee Nyberg (AUTHORIZED OFFICIAL/OWNER) |
| Authorized Official Contact | 7018527171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calm Therapy Place, Pllc 1821 Burdick Expy W Ste C Minot ND 58701-5667 Ph: (701) 852-7171 | Calm Therapy Place, Pllc 1821 Burdick Expy W Ste C Minot ND 58701-5667 Ph: (701) 852-7171 |
| NPI Number | 1356928741 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/25/2023 |
| Medicare PECOS PAC ID | 4981009347 |
|---|---|
| Medicare Enrollment ID | O20210823002482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356928741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rochelle Renee Nyberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609964238 PECOS PAC ID: 4183712524 Enrollment ID: I20071117000172 |
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