| Loving Living, Inc | |
|
970 Raymond Ave Ste 105 Saint Paul MN 55114-1701 | |
| (612) 405-7057 | |
| (612) 729-0146 |
| Full Name | Loving Living, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 970 Raymond Ave Ste 105, Saint Paul, Minnesota |
| Authorized Official Name and Position | Rachel Pasternak Slater (PRESIDENT) |
| Authorized Official Contact | 6124057057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loving Living, Inc 3332 Longfellow Ave Minneapolis MN 55407-2342 Ph: (612) 702-3052 | Loving Living, Inc 970 Raymond Ave Ste 105 Saint Paul MN 55114-1701 Ph: (612) 405-7057 |
| NPI Number | 1821456757 |
|---|---|
| Provider Enumeration Date | 02/06/2016 |
| Last Update Date | 12/19/2018 |
| Medicare PECOS PAC ID | 0244521557 |
|---|---|
| Medicare Enrollment ID | O20160616001524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821456757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP 5141 (Minnesota) | Primary |
| Provider Name | Rachel P Slater |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821316241 PECOS PAC ID: 9335265354 Enrollment ID: I20100928000578 |
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