| Cedarwood Counseling, Llc | |
|
3091 Mount Ridge Rd Roseville MN 55113-1225 | |
| (651) 246-1804 | |
| Not Available |
| Full Name | Cedarwood Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3091 Mount Ridge Rd, Roseville, Minnesota |
| Authorized Official Name and Position | Laurna Kay Blassingame (OWNER) |
| Authorized Official Contact | 6512461804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedarwood Counseling, Llc 3091 Mount Ridge Rd Roseville MN 55113-1225 Ph: (651) 246-1804 | Cedarwood Counseling, Llc 3091 Mount Ridge Rd Roseville MN 55113-1225 Ph: (651) 246-1804 |
| NPI Number | 1972379519 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/26/2023 |
| Medicare PECOS PAC ID | 5890136592 |
|---|---|
| Medicare Enrollment ID | O20240513002009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972379519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Laurna Kay Blassingame |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063912863 PECOS PAC ID: 6709227408 Enrollment ID: I20240513002143 |
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