| Mentallurgy, Pllc | |
|
817 Ottawa Ave Saint Paul MN 55107-3518 | |
| (828) 719-9349 | |
| Not Available |
| Full Name | Mentallurgy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 817 Ottawa Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Alexander James Neverton (OWNER) |
| Authorized Official Contact | 8287199349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mentallurgy, Pllc 817 Ottawa Ave Saint Paul MN 55107-3518 Ph: (828) 719-9349 | Mentallurgy, Pllc 817 Ottawa Ave Saint Paul MN 55107-3518 Ph: (828) 719-9349 |
| NPI Number | 1235855107 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Medicare PECOS PAC ID | 2567835200 |
|---|---|
| Medicare Enrollment ID | O20230228003283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235855107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julie A Hoyez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942504782 PECOS PAC ID: 6608050141 Enrollment ID: I20110407000766 |
| Provider Name | Hlee Moua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861949661 PECOS PAC ID: 2264720366 Enrollment ID: I20161005000789 |
| Provider Name | Meri Ellen Parady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710541586 PECOS PAC ID: 4688002181 Enrollment ID: I20200317000074 |
| Provider Name | Krista Yucuis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083192223 PECOS PAC ID: 7113305624 Enrollment ID: I20220610002137 |
| Provider Name | Haley Dyan Morgan Shepard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255956496 PECOS PAC ID: 7012329113 Enrollment ID: I20240523001028 |
| Provider Name | Alexander James Neverton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720346349 PECOS PAC ID: 3476926114 Enrollment ID: I20240523002180 |
| Provider Name | Heather Thurmes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104452564 PECOS PAC ID: 7416499579 Enrollment ID: I20240605001112 |
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