| Onyx Pathways, Llc | |
|
12800 Whitewater Dr Ste 100 Minnetonka MN 55343-9347 | |
| (952) 856-0405 | |
| Not Available |
| Full Name | Onyx Pathways, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12800 Whitewater Dr Ste 100, Minnetonka, Minnesota |
| Authorized Official Name and Position | Sierra Nicole Carter (OWNER) |
| Authorized Official Contact | 9528560405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Onyx Pathways, Llc 12800 Whitewater Dr Ste 100 Minnetonka MN 55343-9347 Ph: (952) 856-0405 | Onyx Pathways, Llc 12800 Whitewater Dr Ste 100 Minnetonka MN 55343-9347 Ph: (952) 856-0405 |
| NPI Number | 1750161295 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 03/10/2024 |
| Certification Date | 03/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750161295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
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