| Marbigail Therapy Services Llc | |
|
562 Bavaria Ln Chaska MN 55318-4597 | |
| (612) 236-6799 | |
| Not Available |
| Full Name | Marbigail Therapy Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 562 Bavaria Ln, Chaska, Minnesota |
| Authorized Official Name and Position | Rosa M Garcia (CLINICAL THERAPIST) |
| Authorized Official Contact | 6122366799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marbigail Therapy Services Llc Po Box 722 Excelsior MN 55331-0722 Ph: (612) 236-6799 | Marbigail Therapy Services Llc 562 Bavaria Ln Chaska MN 55318-4597 Ph: (612) 236-6799 |
| NPI Number | 1154792117 |
|---|---|
| Provider Enumeration Date | 10/15/2015 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Medicare PECOS PAC ID | 4789097114 |
|---|---|
| Medicare Enrollment ID | O20210104001759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154792117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 23759 (Minnesota) | Primary |
| Provider Name | Rosa Marcela Garcia Soto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801046305 PECOS PAC ID: 9931321429 Enrollment ID: I20141118001630 |
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