| Kenwood Therapy Center, Llc | |
|
2809 Wayzata Blvd Minneapolis MN 55405-2131 | |
| (612) 377-9190 | |
| (612) 374-4498 |
| Full Name | Kenwood Therapy Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2809 Wayzata Blvd, Minneapolis, Minnesota |
| Authorized Official Name and Position | Walter H Bera (DIRECTOR) |
| Authorized Official Contact | 6123779190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenwood Therapy Center, Llc 2809 Wayzata Blvd Minneapolis MN 55405-2131 Ph: (612) 377-9190 | Kenwood Therapy Center, Llc 2809 Wayzata Blvd Minneapolis MN 55405-2131 Ph: (612) 377-9190 |
| NPI Number | 1144271230 |
|---|---|
| Provider Enumeration Date | 05/13/2006 |
| Last Update Date | 12/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144271230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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