Panoramic Perspectives Therapy And Training, Pa | |
17645 Juniper Path Ste 105 Lakeville MN 55044-7491 | |
(952) 600-8191 | |
Not Available |
Full Name | Panoramic Perspectives Therapy And Training, Pa |
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Speciality | Clinic/Center |
Location | 17645 Juniper Path Ste 105, Lakeville, Minnesota |
Authorized Official Name and Position | Sheila Kathryn Anderson (OWNER) |
Authorized Official Contact | 9526008191 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Panoramic Perspectives Therapy And Training, Pa 17645 Juniper Path Ste 105 Lakeville MN 55044-7491 Ph: (952) 600-8191 | Panoramic Perspectives Therapy And Training, Pa 17645 Juniper Path Ste 105 Lakeville MN 55044-7491 Ph: (952) 600-8191 |
NPI Number | 1619628054 |
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Provider Enumeration Date | 01/18/2022 |
Last Update Date | 12/05/2024 |
Certification Date | 12/05/2024 |
Medicare PECOS PAC ID | 1557801636 |
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Medicare Enrollment ID | O20240904004536 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619628054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Sheila Kathryn Anderson |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1154769164 PECOS PAC ID: 3375083454 Enrollment ID: I20240904004581 |
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