| Moving Mountains Llc | |
|
415 Lake Shore Dr Ne Apt 104 Bemidji MN 56601-4682 | |
| (480) 431-1589 | |
| Not Available |
| Full Name | Moving Mountains Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 415 Lake Shore Dr Ne Apt 104, Bemidji, Minnesota |
| Authorized Official Name and Position | Heidi K Bruder (OWNER) |
| Authorized Official Contact | 4804311589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Mountains Llc 415 Lake Shore Dr Ne Apt 104 Bemidji MN 56601-4682 Ph: (480) 431-1589 | Moving Mountains Llc 415 Lake Shore Dr Ne Apt 104 Bemidji MN 56601-4682 Ph: (480) 431-1589 |
| NPI Number | 1174296438 |
|---|---|
| Provider Enumeration Date | 07/31/2021 |
| Last Update Date | 07/31/2021 |
| Certification Date | 07/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174296438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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