| Calm Waters Therapy, Llc | |
|
601 S 2nd Ave Virginia MN 55792-2705 | |
| (218) 404-9611 | |
| (218) 414-2600 |
| Full Name | Calm Waters Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 601 S 2nd Ave, Virginia, Minnesota |
| Authorized Official Name and Position | Jennifer Ann Moreland (MENTAL HEALTH THERAPIST/OWNER) |
| Authorized Official Contact | 2184049611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calm Waters Therapy, Llc 728 13th St N Virginia MN 55792-2241 Ph: (218) 404-9611 | Calm Waters Therapy, Llc 601 S 2nd Ave Virginia MN 55792-2705 Ph: (218) 404-9611 |
| NPI Number | 1235638982 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 02/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235638982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2859 (Minnesota) | Primary |
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