| Lifetrack Resources, Inc. | |
|
709 University Ave W Saint Paul MN 55104-4804 | |
| (651) 227-8471 | |
| (651) 265-2318 |
| Full Name | Lifetrack Resources, Inc. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 709 University Ave W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Trixie Ann Golberg (PRESIDENT) |
| Authorized Official Contact | 6512278471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetrack Resources, Inc. 709 University Ave W Saint Paul MN 55104-4804 Ph: (651) 227-8471 | Lifetrack Resources, Inc. 709 University Ave W Saint Paul MN 55104-4804 Ph: (651) 227-8471 |
| NPI Number | 1225045362 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 05/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225045362 | NPI | - | NPPES |
| 1019353 | Other | MN | PREFERRED ONE |
| 119905 | Other | MN | CHOICE PLUS |
| 13112SP | Other | MN | BCBS - OT |
| 995555101 | Medicaid | MN | |
| 27779PA | Other | MN | BCBS - PT |
| 5900058 | Other | MN | MEDICA DUAL SOLUTION |
| 553476300 | Medicaid | MN | |
| 431M9LI | Other | MN | BCBS - MENTAL HEALTH |
| 995555100 | Medicaid | MN | |
| 102486 | Other | MN | UCARE - PT/OT/SP |
| 108931 | Other | MN | UCARE - MENTAL HEALTH |
| 505120046 | Other | MN | MHP |
| 28605PA | Other | MN | BCBS - SP |
| 6400054 | Other | MN | MEDICA CROSS OVER MEDICAR |
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