| Open Sky Psychotherapy, Llc | |
|
5316 Oakley St Duluth MN 55804-1321 | |
| (218) 321-1880 | |
| Not Available |
| Full Name | Open Sky Psychotherapy, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5316 Oakley St, Duluth, Minnesota |
| Authorized Official Name and Position | Michele Joy Flatau (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2183211880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Sky Psychotherapy, Llc 5316 Oakley St Duluth MN 55804-1321 Ph: (218) 321-1880 | Open Sky Psychotherapy, Llc 5316 Oakley St Duluth MN 55804-1321 Ph: (218) 321-1880 |
| NPI Number | 1376164848 |
|---|---|
| Provider Enumeration Date | 05/06/2020 |
| Last Update Date | 05/06/2020 |
| Certification Date | 05/06/2020 |
| Medicare PECOS PAC ID | 3476975103 |
|---|---|
| Medicare Enrollment ID | O20200625000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376164848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michele Joy Flatau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679928352 PECOS PAC ID: 8628302767 Enrollment ID: I20190625000202 |
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