Emerald Therapy Llc | |
7400 Lyndale Ave S Ste 180 Richfield MN 55423-4142 | |
(651) 504-4297 | |
Not Available |
Full Name | Emerald Therapy Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 7400 Lyndale Ave S Ste 180, Richfield, Minnesota |
Authorized Official Name and Position | Macey Lee Christian (OWNER, PSYCHOTHERAPIST) |
Authorized Official Contact | 5074040260 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Emerald Therapy Llc 7239 Falmouth Curv Shakopee MN 55379-7044 Ph: (507) 404-0260 | Emerald Therapy Llc 7400 Lyndale Ave S Ste 180 Richfield MN 55423-4142 Ph: (651) 504-4297 |
NPI Number | 1407552565 |
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Provider Enumeration Date | 01/31/2023 |
Last Update Date | 01/31/2023 |
Certification Date | 01/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407552565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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