| Calming Waters Therapy Pllc | |
|
529 Spruce Ln Crookston MN 56716-1338 | |
| (218) 280-1250 | |
| Not Available |
| Full Name | Calming Waters Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 529 Spruce Ln, Crookston, Minnesota |
| Authorized Official Name and Position | Tracy Kressin (OWNER) |
| Authorized Official Contact | 2182801250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calming Waters Therapy Pllc 529 Spruce Ln Crookston MN 56716-1338 Ph: (218) 280-1250 | Calming Waters Therapy Pllc 529 Spruce Ln Crookston MN 56716-1338 Ph: (218) 280-1250 |
| NPI Number | 1467190165 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Medicare PECOS PAC ID | 5294106944 |
|---|---|
| Medicare Enrollment ID | O20230117002848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467190165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tracy Anne Kressin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265922009 PECOS PAC ID: 4385909688 Enrollment ID: I20230117002957 |
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