Know Thyself, Pllc | |
10505 Wayzata Blvd Ste 203-3 Minnetonka MN 55305-1502 | |
(763) 242-3261 | |
(866) 318-3073 |
Full Name | Know Thyself, Pllc |
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Speciality | Social Worker |
Location | 10505 Wayzata Blvd Ste 203-3, Minnetonka, Minnesota |
Authorized Official Name and Position | Melissa Raatz (PRESIDENT) |
Authorized Official Contact | 7632423261 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Know Thyself, Pllc 417 Rucks Farm Rd Delano MN 55328-8837 Ph: (763) 242-3261 | Know Thyself, Pllc 10505 Wayzata Blvd Ste 203-3 Minnetonka MN 55305-1502 Ph: (763) 242-3261 |
NPI Number | 1316643554 |
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Provider Enumeration Date | 01/31/2023 |
Last Update Date | 01/31/2023 |
Certification Date | 01/31/2023 |
Medicare PECOS PAC ID | 9436514817 |
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Medicare Enrollment ID | O20230509000917 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316643554 | NPI | - | NPPES |
1710295001 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Melissa Anne Raatz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942778022 PECOS PAC ID: 4284050105 Enrollment ID: I20210223003240 |
Provider Name | Rebecca Tveten |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831709468 PECOS PAC ID: 2567818016 Enrollment ID: I20231102001442 |
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