| Own Self Be True, Llc | |
|
9220 Bass Lake Rd # 301 New Hope MN 55428-3000 | |
| (612) 990-2383 | |
| Not Available |
| Full Name | Own Self Be True, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9220 Bass Lake Rd # 301, New Hope, Minnesota |
| Authorized Official Name and Position | Elisabeth Ann Gliddon (THERAPIST/OWNER) |
| Authorized Official Contact | 6129902383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Own Self Be True, Llc 856 Birch St Anoka MN 55303-2852 Ph: (612) 990-2383 | Own Self Be True, Llc 9220 Bass Lake Rd # 301 New Hope MN 55428-3000 Ph: (612) 990-2383 |
| NPI Number | 1861026262 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 02/25/2020 |
| Certification Date | 02/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861026262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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