| Most Excellent Psychotherapy Llc | |
|
5 N 3rd Ave W Ste 310 Duluth MN 55802-1614 | |
| (218) 221-6145 | |
| Not Available |
| Full Name | Most Excellent Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5 N 3rd Ave W Ste 310, Duluth, Minnesota |
| Authorized Official Name and Position | Glenn Emery Maloney (PROPRIETOR) |
| Authorized Official Contact | 2182216145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Most Excellent Psychotherapy Llc 5 N 3rd Ave W Ste 310 Duluth MN 55802-1614 Ph: (218) 221-6145 | Most Excellent Psychotherapy Llc 5 N 3rd Ave W Ste 310 Duluth MN 55802-1614 Ph: (218) 221-6145 |
| NPI Number | 1083471213 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Medicare PECOS PAC ID | 6204361777 |
|---|---|
| Medicare Enrollment ID | O20241120002194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083471213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Glenn Emery Maloney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386202042 PECOS PAC ID: 7012442585 Enrollment ID: I20241120002245 |
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