| Open Insight Therapy, Llc | |
|
2040 Douglas Dr N Suite 100 Golden Valley MN 55422-3944 | |
| (612) 567-2909 | |
| Not Available |
| Full Name | Open Insight Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2040 Douglas Dr N, Golden Valley, Minnesota |
| Authorized Official Name and Position | Melia Mccubbin (OWNER) |
| Authorized Official Contact | 6125672909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Insight Therapy, Llc 2040 Douglas Dr N Suite 100 Golden Valley MN 55422-3944 Ph: (612) 567-2909 | Open Insight Therapy, Llc 2040 Douglas Dr N Suite 100 Golden Valley MN 55422-3944 Ph: (612) 567-2909 |
| NPI Number | 1548658727 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 12/23/2014 |
| Medicare PECOS PAC ID | 9830412626 |
|---|---|
| Medicare Enrollment ID | O20141231001554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548658727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 19778 (Minnesota) | Primary |
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