| Invigorate Life Counseling, Pllc | |
|
1154 Grand Ave Suite 2 Saint Paul MN 55105-2628 | |
| (651) 983-3879 | |
| Not Available |
| Full Name | Invigorate Life Counseling, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1154 Grand Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Melanie Mp Vinton (OWNER) |
| Authorized Official Contact | 6519833879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Invigorate Life Counseling, Pllc 1154 Grand Ave Suite 2 St. Paul MN 55104 Ph: (651) 983-3879 | Invigorate Life Counseling, Pllc 1154 Grand Ave Suite 2 Saint Paul MN 55105-2628 Ph: (651) 983-3879 |
| NPI Number | 1508107541 |
|---|---|
| Provider Enumeration Date | 03/14/2013 |
| Last Update Date | 03/14/2013 |
| Medicare PECOS PAC ID | 3577004001 |
|---|---|
| Medicare Enrollment ID | O20240924001486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508107541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Minnesota) | Primary |
| Provider Name | Katie Susan Mohr |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386982783 PECOS PAC ID: 4486195914 Enrollment ID: I20240924001806 |
| Provider Name | Melanie M.p. Vinton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073832358 PECOS PAC ID: 5092256537 Enrollment ID: I20241024002827 |
| Provider Name | Camri L Naseth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407337470 PECOS PAC ID: 5496288722 Enrollment ID: I20241025000037 |
| Provider Name | Hannah Kleese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417510124 PECOS PAC ID: 0042743965 Enrollment ID: I20241031000643 |
| Provider Name | Karin Carver-regan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306204086 PECOS PAC ID: 1153854971 Enrollment ID: I20241031000978 |
| Provider Name | Theressa Watt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689233538 PECOS PAC ID: 8820521511 Enrollment ID: I20241104000187 |
| Provider Name | Mckenzie Taylor Paddock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427666957 PECOS PAC ID: 7012442494 Enrollment ID: I20241121003116 |
| Provider Name | Devin Rae Hendrickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447025713 PECOS PAC ID: 3173058344 Enrollment ID: I20241125002025 |
| Provider Name | Patricia Jean Welch |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336803139 PECOS PAC ID: 8729513676 Enrollment ID: I20241202000937 |
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