| Mind Body Spirit Center | |
|
160 Waynesborough Way Mankato MN 56001-6457 | |
| (507) 625-2660 | |
| Not Available |
| Full Name | Mind Body Spirit Center |
|---|---|
| Speciality | Psychologist |
| Location | 160 Waynesborough Way, Mankato, Minnesota |
| Authorized Official Name and Position | Carol Ann Lowinske (OWNER) |
| Authorized Official Contact | 5076252660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Spirit Center 160 Waynesborough Way Mankato MN 56001-6457 Ph: (507) 625-2660 | Mind Body Spirit Center 160 Waynesborough Way Mankato MN 56001-6457 Ph: (507) 625-2660 |
| NPI Number | 1902057797 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 10/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902057797 | NPI | - | NPPES |
| 1975170-00 | Medicaid | MN | |
| 125732 | Other | MN | UCARE |
| 45Q33L0 | Other | MN | BLUE CROSS BLUE SHEILD |
| 62-51173 | Other | MN | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP3920 (Minnesota) | Primary |
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