| Center For Mental Health And Wellness, Llc | |
|
11855 Ulysses St Ne Ste 40 Blaine MN 55434-3947 | |
| (763) 691-9032 | |
| Not Available |
| Full Name | Center For Mental Health And Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11855 Ulysses St Ne Ste 40, Blaine, Minnesota |
| Authorized Official Name and Position | Lisa Ann Wilke (OWNER) |
| Authorized Official Contact | 7636919032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Mental Health And Wellness, Llc 11855 Ulysses St Ne Ste 40 Blaine MN 55434-3947 Ph: () - | Center For Mental Health And Wellness, Llc 11855 Ulysses St Ne Ste 40 Blaine MN 55434-3947 Ph: (763) 691-9032 |
| NPI Number | 1457868820 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 01/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457868820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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