| Dawning Resilience Pllc | |
|
600 22nd Ave Nw Ste U2f Minot ND 58703-0986 | |
| (701) 707-1383 | |
| Not Available |
| Full Name | Dawning Resilience Pllc |
|---|---|
| Speciality | Counselor |
| Location | 600 22nd Ave Nw Ste U2f, Minot, North Dakota |
| Authorized Official Name and Position | Melissa M Gartner (OWNER) |
| Authorized Official Contact | 7012406404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawning Resilience Pllc 600 22nd Ave Nw Ste U2f Minot ND 58703-0986 Ph: (701) 707-1383 | Dawning Resilience Pllc 600 22nd Ave Nw Ste U2f Minot ND 58703-0986 Ph: (701) 707-1383 |
| NPI Number | 1841991163 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Medicare PECOS PAC ID | 4486006814 |
|---|---|
| Medicare Enrollment ID | O20240122000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841991163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Melissa M Gartner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750571063 PECOS PAC ID: 5294187621 Enrollment ID: I20240122000910 |
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