| Emerald Services & Counseling Llc | |
|
1065 24th Ave Sw Ste 118 Owatonna MN 55060-5063 | |
| (507) 215-8310 | |
| Not Available |
| Full Name | Emerald Services & Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1065 24th Ave Sw Ste 118, Owatonna, Minnesota |
| Authorized Official Name and Position | Mandy Doocy (OWNER) |
| Authorized Official Contact | 5075305084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Services & Counseling Llc Po Box 159 Owatonna MN 55060-0159 Ph: (507) 215-8310 | Emerald Services & Counseling Llc 1065 24th Ave Sw Ste 118 Owatonna MN 55060-5063 Ph: (507) 215-8310 |
| NPI Number | 1487387296 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 12/13/2022 |
| Certification Date | 12/13/2022 |
| Medicare PECOS PAC ID | 0648648410 |
|---|---|
| Medicare Enrollment ID | O20230214001779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487387296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mandy Doocy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629651856 PECOS PAC ID: 1557739323 Enrollment ID: I20230214001872 |
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