Peaceful Living Professionals, Llc | |
6901 78th Ave No, Suite 102 Brooklyn Park MN 55445 | |
(763) 951-9049 | |
Not Available |
Full Name | Peaceful Living Professionals, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 6901 78th Ave No, Suite 102, Brooklyn Park, Minnesota |
Authorized Official Name and Position | Richard Vue (CEO) |
Authorized Official Contact | 7639519049 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peaceful Living Professionals, Llc 6901 78th Ave No, Suite 102 Brooklyn Park MN 55445 Ph: () - | Peaceful Living Professionals, Llc 6901 78th Ave No, Suite 102 Brooklyn Park MN 55445 Ph: (763) 951-9049 |
NPI Number | 1578001178 |
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Provider Enumeration Date | 02/03/2017 |
Last Update Date | 02/03/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578001178 | NPI | - | NPPES |
8738 | Other | MN | CLINICAL SOCIAL WORKER |
24976 | Other | MN | CLINICAL SOCIAL WORKER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 24976 (Minnesota) | Primary |
251S00000X | Community/behavioral Health | 8738 (Minnesota) | Secondary |
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