| Dangie Wellness Services P.a. | |
|
6347 Upland Ln N Maple Grove MN 55311-4005 | |
| (612) 202-9085 | |
| (763) 422-8283 |
| Full Name | Dangie Wellness Services P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 6347 Upland Ln N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Lynn Marie Marrs (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 6122029085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dangie Wellness Services P.a. 6347 Upland Lane N Maple Grove MN 55311-4005 Ph: (612) 202-9085 | Dangie Wellness Services P.a. 6347 Upland Ln N Maple Grove MN 55311-4005 Ph: (612) 202-9085 |
| NPI Number | 1215128707 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 4789779182 |
|---|---|
| Medicare Enrollment ID | O20071001000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215128707 | NPI | - | NPPES |
| 215536200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10921 (Minnesota) | Primary |
| Provider Name | Lynn M Marrs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073590279 PECOS PAC ID: 8628179611 Enrollment ID: I20070720000251 |
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