| Lovestrong Integrative Services | |
|
1560 Deer Trail Ln Ne Owatonna MN 55060-2096 | |
| (317) 743-5539 | |
| (972) 323-8640 |
| Full Name | Lovestrong Integrative Services |
|---|---|
| Speciality | Psychologist |
| Location | 1560 Deer Trail Ln Ne, Owatonna, Minnesota |
| Authorized Official Name and Position | Shelley A. L. Leutschaft (OWNER) |
| Authorized Official Contact | 5074754353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lovestrong Integrative Services 1560 Deer Trail Ln Ne Owatonna MN 55060-2096 Ph: (507) 475-4353 | Lovestrong Integrative Services 1560 Deer Trail Ln Ne Owatonna MN 55060-2096 Ph: (317) 743-5539 |
| NPI Number | 1497308639 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Medicare PECOS PAC ID | 9133456692 |
|---|---|
| Medicare Enrollment ID | O20190807001743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497308639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shelley A Leutschaft |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427430735 PECOS PAC ID: 4981917002 Enrollment ID: I20150720000648 |
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