| Changing Pathways Llc | |
|
2 2nd Ave S Ste 160 Sauk Rapids MN 56379-1425 | |
| (320) 425-0300 | |
| (320) 425-0400 |
| Full Name | Changing Pathways Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2 2nd Ave S Ste 160, Sauk Rapids, Minnesota |
| Authorized Official Name and Position | Jennifer Bischoff (OWNER) |
| Authorized Official Contact | 3204250300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Pathways Llc 2 2nd Ave S Ste 160 Sauk Rapids MN 56379-1425 Ph: (320) 425-0300 | Changing Pathways Llc 2 2nd Ave S Ste 160 Sauk Rapids MN 56379-1425 Ph: (320) 425-0300 |
| NPI Number | 1316616014 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 06/24/2022 |
| Certification Date | 06/24/2022 |
| Medicare PECOS PAC ID | 2466992862 |
|---|---|
| Medicare Enrollment ID | O20240912001196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316616014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Jennifer Mary Bischoff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013210558 PECOS PAC ID: 3375083777 Enrollment ID: I20240912001419 |
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