| Prudence Professional Services, Llc | |
|
3034 Boone Ave N New Hope MN 55427-2419 | |
| (612) 701-3202 | |
| Not Available |
| Full Name | Prudence Professional Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3034 Boone Ave N, New Hope, Minnesota |
| Authorized Official Name and Position | Niket Nneka Allen-fahnbulleh (CEO) |
| Authorized Official Contact | 6127013202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prudence Professional Services, Llc 3034 Boone Ave N New Hope MN 55427-2419 Ph: (612) 701-3202 | Prudence Professional Services, Llc 3034 Boone Ave N New Hope MN 55427-2419 Ph: (612) 701-3202 |
| NPI Number | 1265888226 |
|---|---|
| Provider Enumeration Date | 05/09/2016 |
| Last Update Date | 05/09/2016 |
| Medicare PECOS PAC ID | 2062955974 |
|---|---|
| Medicare Enrollment ID | O20240620001611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265888226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 880516800033 (Minnesota) | Primary |
| Provider Name | Niket Allen-fahnbulleh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427651801 PECOS PAC ID: 8628511532 Enrollment ID: I20240620001535 |
Skadi Sport Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 Highway 169 N Ste 110, New Hope, MN 55428 Phone: 612-208-2347 | |
Spectrum Therapy Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4124 Quebec Ave N Ste 303, New Hope, MN 55427 Phone: 612-607-3963 | |
Mc Consultation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8701 62nd Ave N, New Hope, MN 55428 Phone: 651-447-7364 | |
Rashmi Ohara Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4221 Winnetka Ave N, New Hope, MN 55428 Phone: 612-751-0051 Fax: 763-537-5305 | |
Anointed Living Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5601 Quebec Ave N Apt 103a, New Hope, MN 55428 Phone: 612-478-2628 | |
Jbm Individual & Family Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9141 30th Ave N, New Hope, MN 55427 Phone: 612-607-9794 |