| Centering Your Life Psychology Pllc | |
|
1850 W Wayzata Blvd # 220 Long Lake MN 55356-4413 | |
| (612) 520-1244 | |
| Not Available |
| Full Name | Centering Your Life Psychology Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1850 W Wayzata Blvd # 220, Long Lake, Minnesota |
| Authorized Official Name and Position | Jonathan Kodet (OWNER) |
| Authorized Official Contact | 6125201244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centering Your Life Psychology Pllc 1850 W Wayzata Blvd # 220 Long Lake MN 55356-4413 Ph: (612) 520-1244 | Centering Your Life Psychology Pllc 1850 W Wayzata Blvd # 220 Long Lake MN 55356-4413 Ph: (612) 520-1244 |
| NPI Number | 1932856408 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932856408 | NPI | - | NPPES |
| 1750838181 | Other | 1750838181 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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