Emerald Bridge Wellness | |
14033 Commerce Ave Ne Ste 300 Prior Lake MN 55372-1515 | |
(512) 763-7086 | |
Not Available |
Full Name | Emerald Bridge Wellness |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 14033 Commerce Ave Ne Ste 300, Prior Lake, Minnesota |
Authorized Official Name and Position | Malinda Lynch (OWNER) |
Authorized Official Contact | 6512763708 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Emerald Bridge Wellness 14033 Commerce Ave Ne Ste 300 Prior Lake MN 55372-1515 Ph: (512) 763-7086 | Emerald Bridge Wellness 14033 Commerce Ave Ne Ste 300 Prior Lake MN 55372-1515 Ph: (512) 763-7086 |
NPI Number | 1861233421 |
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Provider Enumeration Date | 06/05/2024 |
Last Update Date | 06/05/2024 |
Certification Date | 06/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861233421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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