| Equine Elevated | |
|
15198 Irish Ave N Hugo MN 55038-9444 | |
| (612) 743-8091 | |
| Not Available |
| Full Name | Equine Elevated |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 15198 Irish Ave N, Hugo, Minnesota |
| Authorized Official Name and Position | Danielle Carlson (OWNER) |
| Authorized Official Contact | 6127438091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equine Elevated 15198 Irish Ave N Hugo MN 55038-9444 Ph: (612) 743-8091 | Equine Elevated 15198 Irish Ave N Hugo MN 55038-9444 Ph: (612) 743-8091 |
| NPI Number | 1235837501 |
|---|---|
| Provider Enumeration Date | 02/16/2023 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235837501 | NPI | - | NPPES |
| 1679877252 | Other | LMFT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Autism Services Of Minnesota Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14663 Mercantile Dr N, Hugo, MN 55038 Phone: 612-405-3156 | |
Willow Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5793 180th St N, Hugo, MN 55038 Phone: 651-647-1022 Fax: 651-464-2088 |