| Down To Earth Therapy Llc | |
|
1114 Grand Ave Saint Paul MN 55105-2628 | |
| (651) 352-7105 | |
| (877) 292-0677 |
| Full Name | Down To Earth Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1114 Grand Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Kelly Anne Evans (PRESIDENT) |
| Authorized Official Contact | 6513527105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Down To Earth Therapy Llc 1114 Grand Ave Saint Paul MN 55105-2628 Ph: (612) 735-9676 | Down To Earth Therapy Llc 1114 Grand Ave Saint Paul MN 55105-2628 Ph: (651) 352-7105 |
| NPI Number | 1609237809 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 03/09/2024 |
| Certification Date | 03/09/2024 |
| Medicare PECOS PAC ID | 6800233537 |
|---|---|
| Medicare Enrollment ID | O20240318001688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609237809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1871 (Minnesota) | Primary |
| Provider Name | Kelly Anne Evans |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093027906 PECOS PAC ID: 7618314345 Enrollment ID: I20240318001806 |
| Provider Name | Asha Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801595160 PECOS PAC ID: 0547607160 Enrollment ID: I20240319001300 |
| Provider Name | Nikki Braaten |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144865767 PECOS PAC ID: 3971940438 Enrollment ID: I20240320002456 |
| Provider Name | Lindsay Gades |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578005161 PECOS PAC ID: 8123465689 Enrollment ID: I20240320002519 |
| Provider Name | Amanda Hancock |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871007237 PECOS PAC ID: 7012354491 Enrollment ID: I20240320003910 |
| Provider Name | Elizabeth S Luecke |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245765700 PECOS PAC ID: 1355788126 Enrollment ID: I20240328002298 |
| Provider Name | Jessica Margaret Haas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801392410 PECOS PAC ID: 5890132682 Enrollment ID: I20240328002765 |
| Provider Name | Alyssum Meryl Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598445256 PECOS PAC ID: 3971941709 Enrollment ID: I20240329000912 |
| Provider Name | Corinne Ann Sundell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356923569 PECOS PAC ID: 4385082122 Enrollment ID: I20240329001171 |
| Provider Name | Leah Marjorie Mcellistrem |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629441191 PECOS PAC ID: 4486092269 Enrollment ID: I20240401000042 |
| Provider Name | Jennifer Rae Hoglund Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396013355 PECOS PAC ID: 3971941618 Enrollment ID: I20240401002457 |
| Provider Name | Sharon Joy Mitchell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275973703 PECOS PAC ID: 9537507975 Enrollment ID: I20240404002877 |
| Provider Name | Eleanor Lyn Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104015502 PECOS PAC ID: 1254779556 Enrollment ID: I20240405001094 |
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