| Minerva Center For Psychology Pllc | |
|
11185 Lake Blvd Ste 205 Chisago City MN 55013-9814 | |
| (612) 865-9150 | |
| Not Available |
| Full Name | Minerva Center For Psychology Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 11185 Lake Blvd Ste 205, Chisago City, Minnesota |
| Authorized Official Name and Position | Cheri Kuhn (OWNER) |
| Authorized Official Contact | 6128659150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minerva Center For Psychology Pllc 3708 35th Ave S Minneapolis MN 55406-2747 Ph: () - | Minerva Center For Psychology Pllc 11185 Lake Blvd Ste 205 Chisago City MN 55013-9814 Ph: (612) 865-9150 |
| NPI Number | 1528846961 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Medicare PECOS PAC ID | 1557718376 |
|---|---|
| Medicare Enrollment ID | O20231115002389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528846961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cheri A Kuhn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811418346 PECOS PAC ID: 0749610822 Enrollment ID: I20200414002676 |
Acres For Life Therapy & Wellness Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11720 256th St, Chisago City, MN 55013 Phone: 651-257-4159 | |
Family Based Therapy Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11549 Lake Ln, Suite 2, Chisago City, MN 55013 Phone: 651-257-2733 Fax: 651-257-2783 |