Lifequest Therapeutic Services | |
2233 Hamline Ave N #609 Roseville MN 55113-5009 | |
(651) 263-0004 | |
Not Available |
Full Name | Lifequest Therapeutic Services |
---|---|
Speciality | Social Worker |
Location | 2233 Hamline Ave N, Roseville, Minnesota |
Authorized Official Name and Position | Bekah Saliterman (OWNER) |
Authorized Official Contact | 6512630004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lifequest Therapeutic Services 2233 Hamline Ave N #609 Roseville MN 55113-5009 Ph: (651) 263-0004 | Lifequest Therapeutic Services 2233 Hamline Ave N #609 Roseville MN 55113-5009 Ph: (651) 263-0004 |
NPI Number | 1700061272 |
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Provider Enumeration Date | 01/03/2008 |
Last Update Date | 01/03/2008 |
Medicare PECOS PAC ID | 2365589520 |
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Medicare Enrollment ID | O20091021000545 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700061272 | NPI | - | NPPES |
136419 | Other | MN | U-CARE |
HP53204 | Other | MN | HEALTHPARTNERS |
431G2LI | Other | MN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 15886 (Minnesota) | Primary |
Provider Name | Bekah J Saliterman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760445076 PECOS PAC ID: 3678670825 Enrollment ID: I20070522000725 |
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