| River Lotus Psychotherapy | |
|
905 Jefferson Ave Ste 205-1 Saint Paul MN 55102-4741 | |
| (612) 567-9994 | |
| Not Available |
| Full Name | River Lotus Psychotherapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 Jefferson Ave Ste 205-1, Saint Paul, Minnesota |
| Authorized Official Name and Position | Rebekah Morse (OWNER) |
| Authorized Official Contact | 6125679994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Lotus Psychotherapy 905 Jefferson Ave Ste 205-1 Saint Paul MN 55102-4741 Ph: (612) 567-9994 | River Lotus Psychotherapy 905 Jefferson Ave Ste 205-1 Saint Paul MN 55102-4741 Ph: (612) 567-9994 |
| NPI Number | 1013669431 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 9739553116 |
|---|---|
| Medicare Enrollment ID | O20230327001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013669431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Rebekah Anne Morse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629520846 PECOS PAC ID: 0648644021 Enrollment ID: I20230327001265 |
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