| Lgc Services Llc | |
|
102 1st Ave Ne Ste 1 Austin MN 55912-3401 | |
| (507) 396-2162 | |
| Not Available |
| Full Name | Lgc Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 102 1st Ave Ne Ste 1, Austin, Minnesota |
| Authorized Official Name and Position | Jessie Lea Meyer (CO-OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5074387603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lgc Services Llc 102 1st Ave Ne Ste 1 Austin MN 55912-3401 Ph: (507) 396-2162 | Lgc Services Llc 102 1st Ave Ne Ste 1 Austin MN 55912-3401 Ph: (507) 396-2162 |
| NPI Number | 1902625205 |
|---|---|
| Provider Enumeration Date | 10/04/2024 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902625205 | NPI | - | NPPES |
| 1235211160 | Medicaid | MN | |
| 1578658282 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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