| Eremo Llc | |
|
5871 Cedar Lake Rd S Ste 216 St Louis Park MN 55416-3805 | |
| (919) 904-2140 | |
| Not Available |
| Full Name | Eremo Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5871 Cedar Lake Rd S Ste 216, St Louis Park, Minnesota |
| Authorized Official Name and Position | Sally K Osano (CEO/OWNER) |
| Authorized Official Contact | 9199042140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eremo Llc 5871 Cedar Lake Rd S Ste 216 St Louis Park MN 55416-3805 Ph: (919) 904-2140 | Eremo Llc 5871 Cedar Lake Rd S Ste 216 St Louis Park MN 55416-3805 Ph: (919) 904-2140 |
| NPI Number | 1417688300 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417688300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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