| Mending Mental Health | |
|
7430 Wentworth Ave Richfield MN 55423-4133 | |
| (763) 226-6006 | |
| Not Available |
| Full Name | Mending Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 7430 Wentworth Ave, Richfield, Minnesota |
| Authorized Official Name and Position | Leah Clausen (DIRECTOR OF OPERATIONS, OWNER) |
| Authorized Official Contact | 7632266006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Mental Health 7430 Wentworth Ave Richfield MN 55423-4133 Ph: (763) 226-6006 | Mending Mental Health 7430 Wentworth Ave Richfield MN 55423-4133 Ph: (763) 226-6006 |
| NPI Number | 1720846215 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 0446690770 |
|---|---|
| Medicare Enrollment ID | O20240502003014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720846215 | NPI | - | NPPES |
| Provider Name | Tracy Kimberly Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295447894 PECOS PAC ID: 0648645895 Enrollment ID: I20230331001629 |
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