| Emerge Therapy | |
|
4208 Park Glen Rd Minneapolis MN 55416-4758 | |
| (630) 677-5437 | |
| Not Available |
| Full Name | Emerge Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4208 Park Glen Rd, Minneapolis, Minnesota |
| Authorized Official Name and Position | Elizabeth Vogt (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6126421754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerge Therapy 4208 Park Glen Rd Minneapolis MN 55416-4758 Ph: (630) 677-5437 | Emerge Therapy 4208 Park Glen Rd Minneapolis MN 55416-4758 Ph: (630) 677-5437 |
| NPI Number | 1699239566 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699239566 | NPI | - | NPPES |
| 1336374750 | Other | MN | CLINICAL SOCIAL WORKER |
| 1447644224 | Other | MN | SOCIAL WORKER CLINICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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