| Mcgovern Psychotherapy, Llc | |
|
3340 Republic Ave Ste 120 St Louis Park MN 55426-4189 | |
| (612) 564-8897 | |
| Not Available |
| Full Name | Mcgovern Psychotherapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3340 Republic Ave Ste 120, St Louis Park, Minnesota |
| Authorized Official Name and Position | Amanda Rachel Mcgovern (OWNER) |
| Authorized Official Contact | 5514865221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcgovern Psychotherapy, Llc 3340 Republic Ave Ste 120 St Louis Park MN 55426-4189 Ph: () - | Mcgovern Psychotherapy, Llc 3340 Republic Ave Ste 120 St Louis Park MN 55426-4189 Ph: (612) 564-8897 |
| NPI Number | 1053979435 |
|---|---|
| Provider Enumeration Date | 05/31/2019 |
| Last Update Date | 05/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053979435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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