| Envisioning Wellness Llc | |
|
3460 Washington Dr Ste 109 Eagan MN 55122-4301 | |
| (952) 314-8364 | |
| Not Available |
| Full Name | Envisioning Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3460 Washington Dr Ste 109, Eagan, Minnesota |
| Authorized Official Name and Position | Dorothee Tshiela (OWNER) |
| Authorized Official Contact | 9523148364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envisioning Wellness Llc 997 Whitney Dr Apple Valley MN 55124-9189 Ph: (952) 314-8364 | Envisioning Wellness Llc 3460 Washington Dr Ste 109 Eagan MN 55122-4301 Ph: (952) 314-8364 |
| NPI Number | 1528791605 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528791605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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