| Kairos Therapy Institute | |
|
8609 Lyndale Ave S Ste 110 Bloomington MN 55420-2733 | |
| (612) 688-5968 | |
| Not Available |
| Full Name | Kairos Therapy Institute |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8609 Lyndale Ave S Ste 110, Bloomington, Minnesota |
| Authorized Official Name and Position | Ruth Grambush (OWNER) |
| Authorized Official Contact | 6513575164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kairos Therapy Institute 3410 Boulder Trl Webster MN 55088-3310 Ph: (651) 395-1791 | Kairos Therapy Institute 8609 Lyndale Ave S Ste 110 Bloomington MN 55420-2733 Ph: (612) 688-5968 |
| NPI Number | 1356006290 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 11/04/2021 |
| Certification Date | 11/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356006290 | NPI | - | NPPES |
| 4095 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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