| Menages Llc | |
|
6802 158th St W Apple Valley MN 55124-6578 | |
| (952) 451-4280 | |
| Not Available |
| Full Name | Menages Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6802 158th St W, Apple Valley, Minnesota |
| Authorized Official Name and Position | Edith Rene Tchouichoui Tonou (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9524514280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Menages Llc 6802 158th St W Apple Valley MN 55124-6578 Ph: (952) 451-4280 | Menages Llc 6802 158th St W Apple Valley MN 55124-6578 Ph: (952) 451-4280 |
| NPI Number | 1700313756 |
|---|---|
| Provider Enumeration Date | 05/20/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700313756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1086828-1-HCBS (Minnesota) | Primary |
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