Crossroads: Solutions For Life Llc | |
1030 County Road E W Ste 220 Shoreview MN 55126-8153 | |
(651) 249-1750 | |
Not Available |
Full Name | Crossroads: Solutions For Life Llc |
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Speciality | Community/Behavioral Health |
Location | 1030 County Road E W Ste 220, Shoreview, Minnesota |
Authorized Official Name and Position | Leanne Mairs (OWNER) |
Authorized Official Contact | 6512491750 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crossroads: Solutions For Life Llc Po Box 270696 Vadnais Heights MN 55127-0696 Ph: (651) 249-1750 | Crossroads: Solutions For Life Llc 1030 County Road E W Ste 220 Shoreview MN 55126-8153 Ph: (651) 249-1750 |
NPI Number | 1376255240 |
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Provider Enumeration Date | 12/22/2022 |
Last Update Date | 11/07/2023 |
Certification Date | 11/07/2023 |
Medicare PECOS PAC ID | 1456792399 |
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Medicare Enrollment ID | O20240509002918 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376255240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Leanne M Mairs |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053567560 PECOS PAC ID: 2961644018 Enrollment ID: I20130820000502 |
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