Central Mn Healing Center, Pllc | |
610 W 1st Ave Osakis MN 56360-8227 | |
(320) 766-6333 | |
Not Available |
Full Name | Central Mn Healing Center, Pllc |
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Speciality | Counselor - Mental Health |
Location | 610 W 1st Ave, Osakis, Minnesota |
Authorized Official Name and Position | Angie Williamson (OWNER/THERAPIST) |
Authorized Official Contact | 3207666333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Central Mn Healing Center, Pllc Po Box 120 Osakis MN 56360-0120 Ph: (320) 766-6333 | Central Mn Healing Center, Pllc 610 W 1st Ave Osakis MN 56360-8227 Ph: (320) 766-6333 |
NPI Number | 1396465977 |
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Provider Enumeration Date | 09/01/2022 |
Last Update Date | 10/08/2024 |
Certification Date | 10/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396465977 | NPI | - | NPPES |
10807300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |