Mental Health Resources | |
2105 Minnehaha Ave Minneapolis MN 55404-3107 | |
(612) 333-0331 | |
Not Available |
Full Name | Mental Health Resources |
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Speciality | Community/Behavioral Health |
Location | 2105 Minnehaha Ave, Minneapolis, Minnesota |
Authorized Official Name and Position | Carleen Howell (ASSOC DIR OF ACCTG & BUS SVCS) |
Authorized Official Contact | 6513653612 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mental Health Resources 762 Transfer Rd Ste 21 Saint Paul MN 55114-1489 Ph: (651) 659-2900 | Mental Health Resources 2105 Minnehaha Ave Minneapolis MN 55404-3107 Ph: (612) 333-0331 |
NPI Number | 1821276049 |
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Provider Enumeration Date | 02/11/2008 |
Last Update Date | 02/24/2023 |
Certification Date | 02/24/2023 |
Medicare PECOS PAC ID | 0446144992 |
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Medicare Enrollment ID | O20181106000582 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821276049 | NPI | - | NPPES |
395253302 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 395253302 (Minnesota) | Primary |
Provider Name | Jade A Erickson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811389679 PECOS PAC ID: 8921307489 Enrollment ID: I20160504001927 |
Provider Name | Kathleen E Pengelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760956668 PECOS PAC ID: 5193053411 Enrollment ID: I20190826000339 |
Provider Name | Jill M Sweeny |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730200197 PECOS PAC ID: 4183018146 Enrollment ID: I20220308002496 |
Provider Name | Brenda K Shores |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619124716 PECOS PAC ID: 8820475809 Enrollment ID: I20220512000952 |
Provider Name | Gary O Steele |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1114197068 PECOS PAC ID: 5698111565 Enrollment ID: I20240313004218 |
Provider Name | Alexandra K Chapman |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1801271101 PECOS PAC ID: 4880032705 Enrollment ID: I20240410002715 |
Provider Name | Melissa Davenport-laplante |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1184068868 PECOS PAC ID: 5193968998 Enrollment ID: I20240605002208 |
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