| Catalyst Insight Collective, Llc | |
|
2855 Anthony Ln S Ste 140 St Anthony MN 55418-2880 | |
| (612) 444-1655 | |
| Not Available |
| Full Name | Catalyst Insight Collective, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2855 Anthony Ln S Ste 140, St Anthony, Minnesota |
| Authorized Official Name and Position | Shireen Ghanatabadi (LICENSED THERAPIST) |
| Authorized Official Contact | 6124441655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst Insight Collective, Llc 2855 Anthony Ln S Ste 140 Minneapolis MN 55418-2880 Ph: () - | Catalyst Insight Collective, Llc 2855 Anthony Ln S Ste 140 St Anthony MN 55418-2880 Ph: (612) 444-1655 |
| NPI Number | 1619562113 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Medicare PECOS PAC ID | 8820438955 |
|---|---|
| Medicare Enrollment ID | O20240506003640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619562113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Eric Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598342503 PECOS PAC ID: 5395194765 Enrollment ID: I20240611003948 |
| Provider Name | Stephanie Dreis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598278285 PECOS PAC ID: 9133578503 Enrollment ID: I20240611004160 |
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