| Minnesota Attachment Collective Llc | |
|
858 Sudberry Ln Eagan MN 55123-1938 | |
| (651) 955-4002 | |
| Not Available |
| Full Name | Minnesota Attachment Collective Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 858 Sudberry Ln, Eagan, Minnesota |
| Authorized Official Name and Position | Kayla Estenson Williams (FOUNDER) |
| Authorized Official Contact | 6519554002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Attachment Collective Llc 858 Sudberry Ln Eagan MN 55123-1938 Ph: (651) 955-4002 | Minnesota Attachment Collective Llc 858 Sudberry Ln Eagan MN 55123-1938 Ph: (651) 955-4002 |
| NPI Number | 1740962224 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740962224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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