| Family Connections | |
|
11608 Wayzata Blvd Minnetonka MN 55305-2009 | |
| (952) 544-0964 | |
| (952) 544-6405 |
| Full Name | Family Connections |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11608 Wayzata Blvd, Minnetonka, Minnesota |
| Authorized Official Name and Position | Joyce Marie Arendt (OWNER/PRESIDENT) |
| Authorized Official Contact | 6127162828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Connections 11608 Wayzata Blvd Minnetonka MN 55305-2009 Ph: (952) 544-0964 | Family Connections 11608 Wayzata Blvd Minnetonka MN 55305-2009 Ph: (952) 544-0964 |
| NPI Number | 1811228133 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 01/26/2010 |
| Medicare PECOS PAC ID | 7517123136 |
|---|---|
| Medicare Enrollment ID | O20120726000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811228133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15568 (Minnesota) | Primary |
| Provider Name | Joyce M Arendt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316028699 PECOS PAC ID: 1052577673 Enrollment ID: I20120727000175 |
| Provider Name | Tanya L Holthus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356779896 PECOS PAC ID: 9436386885 Enrollment ID: I20131211000709 |
| Provider Name | Bethany L Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003327560 PECOS PAC ID: 7214363407 Enrollment ID: I20200206001894 |
| Provider Name | Mark Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750724522 PECOS PAC ID: 8729463146 Enrollment ID: I20220920003530 |
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