| Reconnect Counseling Llc | |
|
4445 77th St W Ste 201 Edina MN 55435-5135 | |
| (763) 910-2406 | |
| Not Available |
| Full Name | Reconnect Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4445 77th St W Ste 201, Edina, Minnesota |
| Authorized Official Name and Position | Kimberly Bundy (OWNER) |
| Authorized Official Contact | 7639102406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reconnect Counseling Llc 37904 Lever St Ne Stanchfield MN 55080-5023 Ph: (651) 503-2549 | Reconnect Counseling Llc 4445 77th St W Ste 201 Edina MN 55435-5135 Ph: (763) 910-2406 |
| NPI Number | 1689421513 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689421513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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