| Essential Care Services Llc | |
|
1983 Sloan Pl Ste 16 Maplewood MN 55117-2004 | |
| (612) 607-9414 | |
| Not Available |
| Full Name | Essential Care Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1983 Sloan Pl Ste 16, Maplewood, Minnesota |
| Authorized Official Name and Position | Kinsi Mohamud Mirreh (CEO) |
| Authorized Official Contact | 6126079414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Care Services Llc 1983 Sloan Pl Ste 16 Maplewood MN 55117-2004 Ph: (612) 607-9414 | Essential Care Services Llc 1983 Sloan Pl Ste 16 Maplewood MN 55117-2004 Ph: (612) 607-9414 |
| NPI Number | 1174145239 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 05/12/2020 |
| Certification Date | 05/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174145239 | NPI | - | NPPES |
| 6762169 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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