| Psychotherapy And Resilience, Pllc | |
|
366 Selby Ave Suite 200 Saint Paul MN 55102-1880 | |
| (612) 345-0598 | |
| Not Available |
| Full Name | Psychotherapy And Resilience, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 366 Selby Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Helena Jane Mackenzie (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6123450598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy And Resilience, Pllc 366 Selby Ave Suite 200 Saint Paul MN 55102-1880 Ph: (612) 345-0598 | Psychotherapy And Resilience, Pllc 366 Selby Ave Suite 200 Saint Paul MN 55102-1880 Ph: (612) 345-0598 |
| NPI Number | 1861867251 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 12/10/2015 |
| Medicare PECOS PAC ID | 6406146935 |
|---|---|
| Medicare Enrollment ID | O20160613000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861867251 | NPI | - | NPPES |
| 074982600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP4407 (Minnesota) | Primary |
| Provider Name | Helena J Mackenzie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376576397 PECOS PAC ID: 6608895024 Enrollment ID: I20051115000856 |
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