| Elaine K Johnson Ma Lp Ladc Pllc | |
|
521 Tanglewood Dr Shoreview MN 55126-2016 | |
| (612) 801-5826 | |
| (651) 490-5215 |
| Full Name | Elaine K Johnson Ma Lp Ladc Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 521 Tanglewood Dr, Shoreview, Minnesota |
| Authorized Official Name and Position | Elaine Johnson (OWNER) |
| Authorized Official Contact | 6128015826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine K Johnson Ma Lp Ladc Pllc 521 Tanglewood Dr Shoreview MN 55126-2016 Ph: (612) 801-5826 | Elaine K Johnson Ma Lp Ladc Pllc 521 Tanglewood Dr Shoreview MN 55126-2016 Ph: (612) 801-5826 |
| NPI Number | 1063234268 |
|---|---|
| Provider Enumeration Date | 10/29/2024 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063234268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Veritas Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 470 Highway 96 W Ste 260, Shoreview, MN 55126 Phone: 651-237-3767 | |
Pathway Virtu-health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4570 Churchill St Ste 140, Shoreview, MN 55126 Phone: 612-517-1293 Fax: 612-349-2790 | |
Keystone Counseling And Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Lexington Ave N Ste B, Shoreview, MN 55126 Phone: 651-421-0815 | |
Thomas M Graske, M.a., L.p. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Tanglewood Dr, Shoreview, MN 55126 Phone: 763-753-1785 Fax: 763-753-1753 | |
Stephanie A Johnson Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3550 Lexington Ave N Ste 207, Shoreview, MN 55126 Phone: 651-354-1443 | |
Outreach Counseling & Consulting Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3570 Lexington Ave N, Suite 100, Shoreview, MN 55126 Phone: 651-481-0664 Fax: 651-481-3907 |