| Lorie Crandall Llc | |
|
7701 Golden Valley Rd # 27066 Minneapolis MN 55427-9998 | |
| (612) 321-8405 | |
| Not Available |
| Full Name | Lorie Crandall Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7701 Golden Valley Rd # 27066, Minneapolis, Minnesota |
| Authorized Official Name and Position | Lorie Crandall (OWNER, LMFT) |
| Authorized Official Contact | 6123218405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorie Crandall Llc 7701 Golden Valley Rd # 27066 Minneapolis MN 55427-9998 Ph: (612) 321-8405 | Lorie Crandall Llc 7701 Golden Valley Rd # 27066 Minneapolis MN 55427-9998 Ph: (612) 321-8405 |
| NPI Number | 1508691585 |
|---|---|
| Provider Enumeration Date | 09/07/2024 |
| Last Update Date | 11/09/2024 |
| Certification Date | 11/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508691585 | NPI | - | NPPES |
| 1124539671 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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