| Ideawell Llc | |
|
3106 164th Ave Nw Andover MN 55304-2416 | |
| (763) 200-4321 | |
| Not Available |
| Full Name | Ideawell Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3106 164th Ave Nw, Andover, Minnesota |
| Authorized Official Name and Position | James Pinson (OWNER, LMFT) |
| Authorized Official Contact | 7632004321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideawell Llc Po Box 92 Andover MN 55304-0010 Ph: () - | Ideawell Llc 3106 164th Ave Nw Andover MN 55304-2416 Ph: (763) 200-4321 |
| NPI Number | 1598592859 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598592859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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